Autor: |
Oren Mark Feuerman, Luigi Caretti, Antonio Agresta, Cristina Monterosso, Giacomo Verzola |
Rok vydání: |
2022 |
Předmět: |
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DOI: |
10.21203/rs.3.rs-1284448/v1 |
Popis: |
Purpose To evaluate the incidence of rebubbling for graft detachment in two different surgical techniques and postoperative management of Ultrathin Descemet’s Stripping Automated Endothelial Keratoplasty (UT-DSAEK). Methods A Longitudinal retrospective and prospective case series of 50 eyes operated between November 1st, 2017 and November 1st, 2020. Graft detachment and consequent rebubbling incidence were registered and reviewed in two groups of consecutive patients with Fuchs endothelial dystrophy. The the two surgical techniques differed in diameter of Descemetorhexis and presence or absence of preoperative inferior Nd:YAG laser iridotomy. Main outcome measures were incidence of rebubbling in 30 days postoperative period and incidence of ocular hypertention. Results Incidence of graft detachment and consequent rebubbling procedure are lower among eyes who underwent iridotomy and had a larger diameter Descemetorhexis than graft diameter. Intraocular pressure resulted higher among patients who did not undergo preoperative inferior Nd:YAG laser iridotomy. Conclusions Preoperative lower iridotomy and less postoperative eye manipulation are associated with less graft dislocation following Ultrathin Descemet’s Stripping Automated Endothelial Keratoplasty. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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