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Manual Preparation of Donor Lenticule Using Artificial Anterior Chamber for Descemet's Membrane Stripping Endothelial Keratoplasty
Journal of the Korean Ophthalmological Society ; : 209-213, 2020.
Artículo en Coreano | WPRIM | ID: wpr-811320
ABSTRACT

PURPOSE:

To report a patient with a pseudophakic bullous keratopathy (PBK) who underwent Descemet's membrane stripping endothelial keratoplasty (DSEK) with manual preparation of the donor corneal graft.CASE

SUMMARY:

A 61-year-old female presented with visual disturbance in her right eye. Five months prior, she was treated with phacoemulsification and intraocular lens exchange surgery of the right eye, and a very severe corneal edema was revealed by slit-lamp examination. We diagnosed PBK and planned DSEK with manual preparation of a donor corneal graft because of the non-availability of a microkeratome or a femtosecond laser. After making the corneal graft using an artificial anterior chamber, crescent knife and cornea dissector, the keratoplasty proceeded using the graft. Three months after surgery, her graft was well-maintained on the right eye. The patient's visual acuity was 0.3, and the corneal endothelial cell count was 1,844/mm².

CONCLUSIONS:

Manual preparation of the donor corneal graft for DSEK is suitable as a second choice treatment method when the availability of surgical devices is limited.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Donantes de Tejidos / Agudeza Visual / Edema Corneal / Trasplante de Córnea / Facoemulsificación / Córnea / Trasplantes / Células Endoteliales / Lámina Limitante Posterior / Lentes Intraoculares Tipo de estudio: Guía de Práctica Clínica Límite: Femenino / Humanos Idioma: Coreano Revista: Journal of the Korean Ophthalmological Society Año: 2020 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Donantes de Tejidos / Agudeza Visual / Edema Corneal / Trasplante de Córnea / Facoemulsificación / Córnea / Trasplantes / Células Endoteliales / Lámina Limitante Posterior / Lentes Intraoculares Tipo de estudio: Guía de Práctica Clínica Límite: Femenino / Humanos Idioma: Coreano Revista: Journal of the Korean Ophthalmological Society Año: 2020 Tipo del documento: Artículo