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Descemet Stripping Automated Endothelial Keratoplasty for Treatment of Pseudophakic Bullous Keratopathy
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Original Article
VOLUME: 42 ISSUE: 4
P: 263-268
July 2012

Descemet Stripping Automated Endothelial Keratoplasty for Treatment of Pseudophakic Bullous Keratopathy

Turk J Ophthalmol 2012;42(4):263-268
DOI: 10.4274/tjo.42.18894
Banu Torun Acar
Selin Tugtan
Suphi Acar
1. Haydarpasa Numune Egitim Ve Arastirma Hastanesi 2. Göz Klinigi, Istanbul, Türkiye
No information available.
No information available
Received Date: 25.01.2012
Accepted Date: 08.05.2012
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ABSTRACT

Pur­po­se:

To evaluate the results and complications of Descemet stripping automated endothelial keratoplasty (DSAEK) in the treatment of pseudophakic bullous keratopathy (PBK).

Ma­te­ri­al and Met­hod:

Twenty eyes of 20 patients who underwent DSAEK with a diagnosis of PBK in our clinic between September 2010-January 2012 were included in this study. Pre- and postoperative best-corrected visual acuity (BCVA), refraction values, endothelial cell density, and graft position were analyzed. Complications and treatments were recorded.

Re­sults:

The mean age of the 20 patients (11female, 9 male) was 71.44±7.55 years (range: 56-83 years) and the mean follow-up time was 11.35±3.90 months (range: 3-16 months). Preoperative mean BCVA was 0.04±0.044 and 12-month BCVA was 0.55±0.22 (p=0.001). Mean endothelial cell density was 1508.42±254.82 cell/mm² at 12-month follow-up visit. Dislocation of graft lenticule occurred in five patients and graft failure occurred in one patient.

Dis­cus­si­on:

DSAEK, due to the more rapid rehabilitation, is an alternative to penetrating keratoplasty in the treatment of endothelial diseases despite the steep learning curve and different complications. (Turk J Ophthalmol 2012; 42: 263-68)