Descemet Stripping Endothelial Keratoplasty in Iridocorneal Endothelial Syndrome: Postoperative Complications and Long-Term Outcomes.

作者: Mark A. Fajgenbaum , Emma J. Hollick

DOI: 10.1097/ICO.0000000000000530

关键词:

摘要: PURPOSE To determine the long-term outcomes of Descemet stripping endothelial keratoplasty (DSEK) in iridocorneal (ICE) syndrome. METHODS Retrospective review a consecutive series 4 eyes patients with ICE syndrome treated by DSEK surgery at single institution follow-up between 2 and 7 years. RESULTS Mean after initial was 55 months (range, 24-95 months). One eye required 1 repeat DSEK, DSEKs for total 9 operations across eyes. There were no graft dislocations primary failures. Seven grafts achieved visual acuity 6/12 or better 6 months. cell loss 3, 6, 12, 24 ± 14%, 78 5%, 80 6%, 83 9%, respectively. Long-term survival poor suffering late failure mean 18 12-28 on Kaplan-Meier analysis 19 (95% confidence interval, 14-24 CONCLUSIONS has potential to provide good short-term However, beyond years is because failure. Patients considering should be warned about high probability surgery.

参考文章(27)
Marianne O. Price, Mark Gorovoy, Francis W. Price, Beth A. Benetz, Harry J. Menegay, Jonathan H. Lass, Descemet's stripping automated endothelial keratoplasty: three-year graft and endothelial cell survival compared with penetrating keratoplasty. Ophthalmology. ,vol. 120, pp. 246- 251 ,(2013) , 10.1016/J.OPHTHA.2012.08.007
Francis W. Price, Marianne O. Price, Descemet's stripping with endothelial keratoplasty in 200 eyes: Early challenges and techniques to enhance donor adherence. Journal of Cataract and Refractive Surgery. ,vol. 32, pp. 411- 418 ,(2006) , 10.1016/J.JCRS.2005.12.078
W. Barry Lee, Deborah S. Jacobs, David C. Musch, Stephen C. Kaufman, William J. Reinhart, Roni M. Shtein, Descemet's Stripping Endothelial Keratoplasty: Safety and Outcomes Ophthalmology. ,vol. 116, pp. 1818- 1830 ,(2009) , 10.1016/J.OPHTHA.2009.06.021
Vinod Gangwani, Adanna Obi, Emma J. Hollick, A prospective study comparing EndoGlide and Busin glide insertion techniques in descemet stripping endothelial keratoplasty. American Journal of Ophthalmology. ,vol. 153, pp. 38- 43 ,(2012) , 10.1016/J.AJO.2011.06.013
Myron Yanoff, Iridocorneal endothelial syndrome: unification of a disease spectrum. Survey of Ophthalmology. ,vol. 24, pp. 1- 2 ,(1979) , 10.1016/0039-6257(79)90142-5
Mark A Terry, Neda Shamie, Edwin S Chen, Karen L Hoar, Paul M Phillips, Daniel J Friend, Endothelial keratoplasty: the influence of preoperative donor endothelial cell densities on dislocation, primary graft failure, and 1-year cell counts. Cornea. ,vol. 27, pp. 1131- 1137 ,(2008) , 10.1097/ICO.0B013E3181814CBC
Lawrence W. Hirst, Harry A. Quigley, Walter J. Stark, M. Bruce Shields, Specular Microscopy of Iridocorneal Endothelia Syndrome American Journal of Ophthalmology. ,vol. 89, pp. 11- 21 ,(1980) , 10.1016/0002-9394(80)90223-8
S Chaurasia, M Ramappa, P Garg, SI Murthy, S Senthil, VS Sangwan, None, Endothelial keratoplasty in the management of irido-corneal endothelial syndrome. Eye. ,vol. 27, pp. 564- 566 ,(2013) , 10.1038/EYE.2012.298
Mark A. Terry, Neda Shamie, Edwin S. Chen, Paul M. Phillips, Anand K. Shah, Karen L. Hoar, Daniel J. Friend, Endothelial Keratoplasty for Fuchs' Dystrophy with Cataract: Complications and Clinical Results with the New Triple Procedure Ophthalmology. ,vol. 116, pp. 631- 639 ,(2009) , 10.1016/J.OPHTHA.2008.11.004