Descemetʼs stripping with automated endothelial keratoplasty and glaucoma

Banitt, Michael R.; Chopra, Vikás

doi:10.1097/icu.0b013e3283360b95

Cited by 46 publications

(42 citation statements)

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“…28 There is also less induced astigmatism and a more stable ocular surface. Allograft rejection has been reported to be less frequent and milder compared to PK, since less tissue is transplanted during DSAEK surgery.…”

Section: Our Study Showed That In Eyes With Ice Syndromementioning

confidence: 98%

Graft Failure and Intraocular Pressure Control After Keratoplasty in Iridocorneal Endothelial Syndrome

Quek¹,

Wong²,

Wong³

et al. 2015

American Journal of Ophthalmology

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Section: Our Study Showed That In Eyes With Ice Syndromementioning

confidence: 98%

Graft Failure and Intraocular Pressure Control After Keratoplasty in Iridocorneal Endothelial Syndrome

Quek¹,

Wong²,

Wong³

et al. 2015

American Journal of Ophthalmology

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“…But during the last decade, selective removal of the diseased Descemet's membrane and endothelial cell layer followed by implantation of a posterior lamellar graft has become increasingly popular (Melles et al 2002;Price & Price 2005;Gorovoy 2006). This so-called DSAEK procedure has been shown to be superior to the PK by inducing less astigmatism, faster healing, earlier visual recovery, smaller degrees of aberrations as well as improved structural ⁄ mechanical strength of the globe (Bahar et al 2009;Bannit & Chopra 2010;Hjortdal & Ehlers 2009;Mau 2009;Muftuoglu et al (2010).…”

Section: Introductionmentioning

confidence: 99%

Visual acuity and contrast sensitivity after posterior lamellar keratoplasty

Nielsen

Hjortdal

2011

Acta Ophthalmologica

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. Purpose: It has previously been reported that patients who suffer from Fuchs’ endothelial dystrophy (Fuchs’ ED) have decreased contrast sensibility threshold. The removal of endothelial guttata by Descemet’s Stripping Automated Endothelial Keratoplasty (DSAEK) surgery has also been demonstrated to decrease intraocular light scatter and improve contrast thresholds. The purpose of this study was to compare different visual qualities in patients that had undergone DSAEK surgery in one eye while having untreated Fuchs’ dystrophy in the other eye. Methods: Thirty‐two eyes of 16 patients with bilateral Fuchs’ ED who had DSAEK surgery performed in one eye were enrolled. Visual acuity at 100% contrast and contrast sensitivity (CS) as evaluated by a modified simulation of the Freiburg Acuity and Contrast Test, was measured in both eyes of each patient. Results: Snellen visual acuity improved in treated eyes from 0.66 ± 0.35 (SD) before surgery to 0.38 ± 0.18 after surgery (log MAR units; p < 0.01). In eyes with untreated Fuchs’ dystrophy, visual acuity was 0.46 ± 0.14. In a pairwise comparison, there was no difference in Snellen visual acuity between treated and nontreated eyes (p = 0.12). Contrast sensitivity was significantly better in DSAEK‐treated eyes compared with untreated eyes. Mean log CS in DSAEK‐treated eyes was 1.06 ± 0.25 compared with a mean log CS of 0.84 ± 0.16 in untreated eyes (p < 0.01). Fourteen of 16 patients (88%) reported that vision in their DSAEK‐treated eye had the best visual quality. Conclusion: In this study, using a paired design, we demonstrate improved CS in DSAEK‐operated eyes when compared with the other eye that had untreated Fuchs’ ED despite the fact that no difference in visual quality was detected with standard Snellen visual acuity. Contrast sensitivity appears to be superior to normal visual acuity measurements in the evaluation of overall visual quality after DSAEK.

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“…Malgré la suppression des sutures, le risque d'hypertonie intra-oculaire (HTO) après DSAEK est proche de celui retrouvé après KP, notamment s'il existait une HTO préopératoire [37]. En effet, l'incidence de glaucome après DSAEK variait de 0 à 43 % dans la littérature [38][39][40]. Le taux d'HTO post-opératoire est relativement faible dans notre étude, d'autant plus que les patients avaient déjà bénéficié d'une ou plusieurs KP auparavant.…”

Section: Discussionunclassified