2013
DOI: 10.1016/j.ophtha.2012.08.011
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Predictive Value of Optical Coherence Tomography in Graft Attachment after Descemet's Membrane Endothelial Keratoplasty

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Cited by 79 publications
(57 citation statements)
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“…This finding is fully consistent with our results since all grafts that were attached on the eighth postoperative day remained attached at 4 weeks after surgery. In summary, the above-mentioned study 21 suggests that rebubbling should not be performed too early in the postoperative period because most graft detachments show reattachment or spontaneous clearance. In contrast to conventional knowledge, we did not clinically observe differences in peripheral edema between the 2 groups in the early postoperative period.…”
Section: Discussionmentioning
confidence: 94%
See 1 more Smart Citation
“…This finding is fully consistent with our results since all grafts that were attached on the eighth postoperative day remained attached at 4 weeks after surgery. In summary, the above-mentioned study 21 suggests that rebubbling should not be performed too early in the postoperative period because most graft detachments show reattachment or spontaneous clearance. In contrast to conventional knowledge, we did not clinically observe differences in peripheral edema between the 2 groups in the early postoperative period.…”
Section: Discussionmentioning
confidence: 94%
“…We preferred to perform rebubbling in the early postoperative period, mainly 6 days after surgery. Recently, Yeh et al 21 analyzed the predictive value of AS-OCT in graft detachment after DMEK to determine the right time point for reintervention. Yeh et al described that the 1-hour and 1-week week after DMEK surgery, reintervention is usually not required.…”
Section: Discussionmentioning
confidence: 99%
“…The decision to perform a re-bubbling might be based on the extent of the graft detachment and how the detachment evolves in time, as described previously. 34 Although technique standardization and surgical experience do not seem to influence postoperative BCVA and ECD, they seem to have a strong effect on the rate of postoperative complications. This effect was observed in a previous study on a series of our first 135 DMEK eyes.…”
Section: Discussionmentioning
confidence: 99%
“…16 Second, if the graft was attached at the first day after surgery, but not at 1 week, a temporary graft detachment may be part of the process for the graft to "settle." 12 Third, detachments that show improvement within the first weeks may be observed, especially when the detached area entails equal to or less than 1/3 of the graft surface area. 12 …”
Section: Most Common Causes Of Graft Detachmentmentioning
confidence: 99%
“…2,[6][7][8][9][10][11] Decision for treatment of DMEK graft detachment may depend on its size and location. Smaller and/or more peripherally located graft detachments that do not affect the visual axis may often resolve spontaneously 12,13 or show spontaneous clearing of the edematous cornea overlying the graft dehiscence. 14,15 In contrast, larger and/or central graft detachments usually require reintervention, even though corneal clearing may also occur in such eyes.…”
mentioning
confidence: 99%