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TitreSurgical Management of Post- Descemet Stripping Automated Endothelial Keratoplasty Interface Haze – Deposits
ButTo 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.
MéthodesA 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.
RésultatsPostoperative 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.
ConclusionBimanual 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.
Conflit d'intérêtNon
Détails conflits d'intérêtno
Auteur 1
NomSAFI
InitialesAS
InstitutHôpital ophtalmique Jules-Gonin
VilleLausanne
Auteur 2
NomVoulgari
InitialesNV
InstitutHôpital ophtalmique Jules-Gonin
VilleLausanne
Auteur 3
NomKontadakis
InitialesGK
InstitutOphthalmology department, Faculty of Medicine, University of Crete
VilleHeraklion
Auteur 4
NomMikropoulos
InitialesDM
Institut3rd University Department of Ophthalmology, AHEPA Hospital
VilleThessaloniki
Auteur 5
NomPetrovic
InitialesAP
InstitutHôpital ophtalmique Jules-Gonin
VilleLausanne
Auteur 6
NomDroutsas
InitialesKD
InstitutFirst Department of Ophthalmology, National and Kapodistrian University of Athens
VilleAthens
Auteur 7
NomKymionis
InitialesGK
InstitutHôpital ophtalmique Jules-Gonin
VilleLausanne
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