Visual Outcomes of Ultrathin-Descemet Stripping Endothelial Keratoplasty versus Descemet Stripping Endothelial Keratoplasty

Droutsas, Konstantinos; Petrelli, Myrsini; Miltsakakis, Dimitrios; Andreanos, Konstantinos; Karagianni, Anastasia; Lazaridis, Apostolos; Koutsandrea, Chrysanthi; Kymionis, George

doi:10.1155/2018/5924058

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Journal article

Visual Outcomes of Ultrathin-Descemet Stripping Endothelial Keratoplasty versus Descemet Stripping Endothelial Keratoplasty

Droutsas, Konstantinos ORCID Department of Ophthalmology, Philipps University, Marburg, Germany
Petrelli, Myrsini ORCID First Department of Ophthalmology, National and Kapodistrian University of Athens, General Hospital “G. Gennimatas”, Athens, Greece
Miltsakakis, Dimitrios State Ophthalmology Clinic, General Hospital “G. Gennimatas”, Athens, Greece
Andreanos, Konstantinos First Department of Ophthalmology, National and Kapodistrian University of Athens, General Hospital “G. Gennimatas”, Athens, Greece
Karagianni, Anastasia State Ophthalmology Clinic, General Hospital “G. Gennimatas”, Athens, Greece
Lazaridis, Apostolos ORCID Department of Ophthalmology, Philipps University, Marburg, Germany
Koutsandrea, Chrysanthi First Department of Ophthalmology, National and Kapodistrian University of Athens, General Hospital “G. Gennimatas”, Athens, Greece
Kymionis, George Jules Gonin Eye Hospital, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland

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Journal of Ophthalmology. - Hindawi Limited. - 2018, vol. 2018, p. 1-5

Ophthalmology

English Purpose. To examine the impact of graft thickness (GT) on postoperative visual acuity and endothelial cell density after ultrathin-Descemet stripping automated endothelial keratoplasty (UT-DSAEK) versus conventional DSAEK. Methods. The medical records of all patients who underwent DSAEK at our institute during a 2-year period were reviewed. After excluding subjects with low visual potential, 34 eyes were divided into two groups based on the postoperative GT as measured with anterior segment optical coherence tomography (AS-OCT): an UT-DSAEK group (GT ≤ 100 μm, n=13 eyes) and a DSAEK group (GT > 100 μm, n=21 eyes). The groups were compared with regard to best-corrected visual acuity (BCVA), subjective refraction, central corneal thickness (CCT), GT, and endothelial cell density (ECD). Results. Preoperative BCVA (logMAR) was 1.035 ± 0.514 and 0.772 ± 0.428 for UT-DSAEK and DSAEK, respectively (P=0.072). At 6 months postoperatively, BCVA was 0.088 ± 0.150 following UT-DSAEK and 0.285 ± 0.158 following DSAEK (P=0.001). Conclusion. DSAEK grafts with a thickness under 100 μm offered better visual outcomes during the early postoperative period.

Language

English

Open access status

gold

Identifiers

DOI 10.1155/2018/5924058
ISSN 2090-004X

Persistent URL

https://sonar.ch/global/documents/149160

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