Document Detail


Manual No-fold Push-in DSAEK Graft Insertion Technique.
MedLine Citation:
PMID:  23044616     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: : To describe the manual no-fold push-in technique for Descemet stripping automated endothelial keratoplasty (DSAEK) graft insertion and analyze postoperative endothelial cell loss.
METHODS: : Twenty consecutive patients underwent DSAEK surgery using the manual no-fold push-in technique. This insertion technique uses a 6-mm limbal wound, a Sheets glide, and a Sinskey hook without the need for an inserter or additional instrumentation.
RESULTS: : Three patients developed graft dislocation, requiring re-bubbling. No primary graft failures were encountered. With an average postoperative follow-up of 13.22 months (SD, 7.94; range, 2.23-26.87), average automated endothelial cell count was 2329.62 cells per mm (SD, 312.78; range, 1657-2928) and the average cell loss was 23.31% (SD, 11.33; range, 5.56-42.76).
CONCLUSIONS: : This technique uses standard instrumentation and is simple to perform. This series demonstrates that manual graft insertion techniques can be effectively used in DSAEK surgery and provide patients with excellent postoperative results.
Authors:
Jay C Bradley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cornea     Volume:  31     ISSN:  1536-4798     ISO Abbreviation:  Cornea     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8216186     Medline TA:  Cornea     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1352-4     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology & Visual Sciences, Texas Tech University Health Sciences Center, Lubbock, TX.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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