Rebubbling of detached descemet membrane endothelial grafts at the slit lamp with 50% air fill after PI-less DMEK during COVID-19 era
| Autor: | Mohanad Moustafa, Douglas Lyall, Meera Mistry, Mustafa Franka, Ore-oluwa Catherine Erikitola |
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| Rok vydání: | 2020 |
| Předmět: |
2019-20 coronavirus outbreak
medicine.medical_specialty Materials science Coronavirus disease 2019 (COVID-19) Descemet membrane Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Visual Acuity Corneal Diseases 03 medical and health sciences 0302 clinical medicine Ophthalmology medicine Humans Descemet Membrane Pandemics Retrospective Studies Slit Lamp Slit lamp SARS-CoV-2 Endothelium Corneal COVID-19 General Medicine eye diseases 030221 ophthalmology & optometry Descemet Stripping Endothelial Keratoplasty 030217 neurology & neurosurgery |
| Zdroj: | European Journal of Ophthalmology. 31:1413-1416 |
| ISSN: | 1724-6016 1120-6721 |
| Popis: | Purpose: To describe the effective use of only 50% air fill of the anterior chamber for rebubbling partially detached Descemet Membrane Endothelial Keratoplasty (DMEK) grafts at the slit lamp at a time of restricted operating theatre access during the COVID-19 pandemic. Methods: We present two cases of patients who underwent rebubbling of a partially detached DMEK grafts at the slit lamp following DMEK surgery without peripheral iridotomy. The rebubbling was performed with a 27-gauge needle attached to a 1ml syringe and the patients seated at the slit lamp. Air was injected into the anterior chamber until a 50% air fill was achieved. The patients were instructed to lie supine for 30 min in clinic and the remainder of the day at home. Results: We performed two rebubbling procedures at the slit lamp using the standard needle and syringe. Both cases achieved 50% air fills without any complications. At 3 days post-procedure the air bubble had resolved and the graft appeared attached centrally and at day 14 post-procedure the two patients had a clear and attached corneal graft with corrected visual acuity of 6/7.5 and 6/9, respectively. Conclusion: Rebubbling of detached DMEK grafts at the slit lamp with 50% air fill in the anterior chamber is a relatively simple and effective procedure. This provides an alternative approach for managing the complication of partially detached DMEK grafts in the era of COVID-19 with limited operating theatre access and avoids the risk of complications such as pupillary block in ‘PI-less’ DMEK. |
| Databáze: | OpenAIRE |
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