| Descemet stripping with endothelial keratoplasty for treatment of iridocorneal endothelial syndrome. | |
| | |
MedLine Citation:
|
PMID: 17457204 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To describe use of Descemet stripping with endothelial keratoplasty (DSEK) to treat corneal edema associated with iridocorneal endothelial (ICE) syndrome. METHODS: In this retrospective, consecutive, interventional case series, the corneal endothelium was selectively replaced by the DSEK technique in eyes with ICE syndrome. Three eyes were treated at 1 center between June 2005 and July 2006. Descemet membrane and endothelium were stripped from the recipient and an 8- or 8.5-mm-diameter donor button consisting of posterior stroma and healthy endothelium was folded and implanted through a 5-mm incision. An air bubble was used to press the donor tissue against the recipient cornea, allowing it to attach without sutures. In 1 case with extensive peripheral anterior synechiae (PAS), after the PAS were broken, the anterior chamber was shallow, so a temporary anchor suture was placed in the peripheral edge of the donor tissue to help ensure that it would unfold in the correct orientation. RESULTS: DSEK successfully resolved corneal edema in 3 male patients with unilateral ICE syndrome who were 47 to 67 years of age. Follow-up ranged from 1 to 14 months. Best spectacle-corrected visual acuity at the most recent visit was 20/20 to 20/30, with a mean refractive cylinder of 1.2 D. CONCLUSIONS: Selective replacement of dysfunctional endothelium with DSEK can successfully treat corneal edema and associated visual loss and pain caused by ICE syndrome. Visual recovery is rapid and refractive changes are minimal compared with replacement of the full corneal thickness with a traditional penetrating keratoplasty. |
| | |
Authors:
|
Marianne O Price; Francis W Price |
Related Documents
:
|
20237364 - Anatomical and biomechanical assessments of medial tibial stress syndrome. 4022364 - Hepatic and encephalopathic components of reye's syndrome: factor analysis of admission... 8834234 - Diagnosis of digeorge syndrome in nuclei released from archival autoptic heart specimen... 3087204 - Rett syndrome--natural history in 70 cases. 12820034 - A rare cause of intestinal obstruction in the adult: morgagni's hernia. 16202084 - Non-syndromic multiple supernumerary teeth transmitted as an autosomal dominant trait. |
Publication Detail:
|
Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Cornea Volume: 26 ISSN: 0277-3740 ISO Abbreviation: Cornea Publication Date: 2007 May |
Date Detail:
|
Created Date: 2007-04-25 Completed Date: 2007-06-04 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8216186 Medline TA: Cornea Country: United States |
Other Details:
|
Languages: eng Pagination: 493-7 Citation Subset: IM |
Affiliation:
|
Cornea Research Foundation of America, Indianapolis, IN 46260, USA. mprice@cornea.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Corneal Edema / surgery* Descemet Membrane / surgery* Endothelium, Corneal / pathology*, transplantation* Humans Iris Diseases / surgery* Male Middle Aged Ophthalmologic Surgical Procedures Retrospective Studies Syndrome Visual Acuity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Development of superior limbic keratoconjunctivitis after upper eyelid blepharoplasty surgery: suppo...
Next Document: Topical steroids in the management of Churg-Strauss syndrome involving the conjunctiva.