POSTOPERATIVE THINNING OF LAMELLAR DONOR GRAFT AFTER CONVENTIONAL DESCEMET'S STRIPPING AUTOMATED ENDOTHELIAL KERATOPLASTY

Acta Clin Croat. 2018 Dec;57(4):653-657. doi: 10.20471/acc.2018.57.04.07.

Abstract

- The purpose of this study was to evaluate postoperative deturgescence of lamellar donor graft after conventional Descemet's stripping automated endothelial keratoplasty (DSAEK). It was a prospective study that included 55 eyes of patients (mean age 70.9±9.4 years; female 61.8%, male 38.2%). Preoperative thickness of lamella was compared with postoperative thickness six months after surgery. Central lamellar graft thickness decreased from 142±27 µm preoperatively to 124±20 µm 6 months postoperatively (p<0.01). After performing conventional DSAEK corneal transplantation, surgeons should expect deturgescence of corneal graft and reduction in thickness of lamellae by about 12% of initial thickness according to our results. We found this information important for better planning of surgical procedures and knowing what to expect after surgery, as well as for better cooperation with eye banks when ordering pre-cut corneal tissue.

Keywords: Cornea; Corneal pachymetry; Descemet stripping endothelial keratoplasty; Tomography, optical coherence.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Descemet Membrane / diagnostic imaging*
  • Descemet Stripping Endothelial Keratoplasty*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Postoperative Period
  • Prospective Studies
  • Tissue Donors
  • Tomography, Optical Coherence