EndoGlide versus EndoSerter for the insertion of donor graft in descemet stripping automated endothelial keratoplasty.
Am J Ophthalmol
; 158(2): 257-262.e1, 2014 Aug.
Article
en En
| MEDLINE
| ID: mdl-24853262
ABSTRACT
PURPOSE:
To compare 2 lenticule insertion methods currently in use for Descemet stripping automated endothelial keratoplasty (DSAEK).DESIGN:
Prospective randomized single-masked study. PATIENTS ANDMETHODS:
Twenty patients with Fuchs endothelial dystrophy and pseudophakic bullous keratopathy undergoing DSAEK surgery were included and randomized to the use of either EndoGlide or EndoSerter as a delivery method for the donor lenticule. Post surgery, patients were monitored for up to 1 year. Evaluation included corrected distance visual acuity (CDVA) and refraction. Specular microscopy images were obtained at the 6- and 12-month visits. Complications, including rebubbling rate, graft dislocation, and graft failure, were recorded.RESULTS:
Twenty eyes were randomized to receive the Tan EndoGlide or the EndoSerter injector for lenticule insertion. Mean patient age was 65.9±8.4 years and 70.3±9.8 years in the Tan EndoGlide and EndoSerter groups, respectively (P=.3). Two eyes in each group needed rebubbling. The mean endothelial cell loss, including the rebubbled eyes, at the 12-month visit was 1093±629 cells/mm2 (range 239-2109 cells/mm2, mean percentage cell loss 41.2%) and 877±566 cells/mm2 (range 116-1851 cells/mm2, mean percentage cell loss 31.4%) in the Tan EndoGlide and EndoSerter groups, respectively (P=.45). Mean CDVA did not show a statistically significant difference between the 2 groups at the 6- or 12-month visit.CONCLUSION:
The EndoSerter shows comparable results to the Tan EndoGlide. However, further investigation is warranted in order to validate these findings.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Endotelio Corneal
/
Agudeza Visual
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Distrofia Endotelial de Fuchs
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Lámina Limitante Posterior
/
Queratoplastia Endotelial de la Lámina Limitante Posterior
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
Límite:
Aged
/
Aged80
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Am J Ophthalmol
Año:
2014
Tipo del documento:
Article