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 |
Last name | SAFI |
Initials | AS |
Department | Hôpital ophtalmique Jules-Gonin |
City | Lausanne |
Last name | Voulgari |
Initials | NV |
Department | Hôpital ophtalmique Jules-Gonin |
City | Lausanne |
Last name | Kontadakis |
Initials | GK |
Department | Ophthalmology department, Faculty of Medicine, University of Crete |
City | Heraklion |
Last name | Mikropoulos |
Initials | DM |
Department | 3rd University Department of Ophthalmology, AHEPA Hospital |
City | Thessaloniki |
Last name | Petrovic |
Initials | AP |
Department | Hôpital ophtalmique Jules-Gonin |
City | Lausanne |
Last name | Droutsas |
Initials | KD |
Department | First Department of Ophthalmology, National and Kapodistrian University of Athens |
City | Athens |
Last name | Kymionis |
Initials | GK |
Department | Hôpital ophtalmique Jules-Gonin |
City | Lausanne |