View abstract

This abstract is assigned to sessions

Title

Surgical Management of Post- Descemet Stripping Automated Endothelial Keratoplasty Interface Haze – Deposits

Purpose	To describe an effective technique for the management of graft-host interface haze associated with interface deposits after Descemet-stripping automated endothelial keratoplasty (DSAEK) with bimanual irrigation/aspiration.
Methods	A Tan marginal dissector was used to separate the graft from the stroma in the nasal two thirds of the graft-host interface. The aspiration handpiece was inserted in the interface through the nasal side-port corneal incision and a separate irrigation tip was placed in the anterior chamber (AC) through the temporal corneal paracentesis. Meticulous rinsing of the two thirds of the interface area and the AC was performed. At the end of the procedure, air was injected into the AC to float the donor graft against the host stromal bed and facilitate graft adherence.
Results	Postoperative anterior segment optical coherence tomography and slit-lamp examination confirmed elimination of the interface haze-deposits and a well attached graft. An improvement in visual acuity was noted.
Conclusion	Bimanual irrigation/aspiration is an efficient method of removing deposits from the donor-recipient corneal interface and achieving visual improvement, while maintaining graft adherence and avoiding the risks of a repeat corneal transplantation.
Conflict of interest	No
Details of conflicting interests	no

Authors 1

Last name	SAFI
Initials	AS
Department	Hôpital ophtalmique Jules-Gonin
City	Lausanne

Authors 2

Last name	Voulgari
Initials	NV
Department	Hôpital ophtalmique Jules-Gonin
City	Lausanne

Authors 3

Last name	Kontadakis
Initials	GK
Department	Ophthalmology department, Faculty of Medicine, University of Crete
City	Heraklion

Authors 4

Last name	Mikropoulos
Initials	DM
Department	3rd University Department of Ophthalmology, AHEPA Hospital
City	Thessaloniki

Authors 5

Last name	Petrovic
Initials	AP
Department	Hôpital ophtalmique Jules-Gonin
City	Lausanne

Authors 6

Last name	Droutsas
Initials	KD
Department	First Department of Ophthalmology, National and Kapodistrian University of Athens
City	Athens

Authors 7

Last name	Kymionis
Initials	GK
Department	Hôpital ophtalmique Jules-Gonin
City	Lausanne