Double-pass microkeratome technique for ultra-thin graft preparation in Descemet's stripping automated endothelial keratoplasty

Maylon Hsu; Walter L Hereth; Majid Moshirfar

doi:10.2147/OPTH.S29479

Double-pass microkeratome technique for ultra-thin graft preparation in Descemet's stripping automated endothelial keratoplasty

Clin Ophthalmol. 2012:6:425-32. doi: 10.2147/OPTH.S29479. Epub 2012 Mar 16.

Authors

Maylon Hsu¹, Walter L Hereth, Majid Moshirfar

Affiliation

¹ University of Utah, John A Moran Eye Center, Department of Ophthalmology and Visual Sciences, Salt Lake City, UT, USA.

Abstract

Endothelial keratoplasty is evolving with increased attention placed on the optical qualities of the posterior donor lenticule. In efforts to improve visual outcomes, the effects of the thickness, smoothness, and planar profile are being studied. This paper describes a double-pass microkeratome technique to create ultra-thin (less than 100 μm) Descemet's stripping automated endothelial keratoplasty grafts.

Keywords: DSAEK; Descemet’s stripping automated endothelial keratoplasty; double-pass; endothelial keratoplasty; eyebank; microkeratome; posterior donor lenticule; thin; ultra-thin.