NS Endo-Inserter: A New Graft Inserter for Descemet Stripping Automated Endothelial Keratoplasty
| Autor: | Takeshi Soma, Naoyuki Maeda, Kohji Nishida, Shizuka Koh |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Endothelium Anterior Chamber medicine.medical_treatment Visual Acuity Corneal Diseases 03 medical and health sciences 0302 clinical medicine Ophthalmology Medicine Humans In patient Small eye Corneal transplantation business.industry Endothelium Corneal Graft Survival Descemet stripping automated endothelial keratoplasty Tissue Donors Endothelial stem cell medicine.anatomical_structure 030221 ophthalmology & optometry Bullous keratopathy business 030217 neurology & neurosurgery Shallow anterior chamber Descemet Stripping Endothelial Keratoplasty |
| Zdroj: | Cornea. 38 |
| ISSN: | 1536-4798 |
| Popis: | Although Descemet stripping automated endothelial keratoplasty (DSAEK) has become widespread as a first choice for the treatment of bullous keratopathy, corneal endothelial cell loss during the early postoperative period caused by intraoperative mechanical stress to the donor endothelium remains a clinical challenge. At present, a pull-through technique is the standard procedure for graft delivery in DSAEK. However, the anterior chamber is likely to collapse during graft delivery in patients with a small eye or shallow anterior chamber, as often seen in Asian patients, leading to endothelial cell damage. To solve this problem, we developed a new device for DSAEK, known as NS Endo-Inserter, in which the graft flows into the anterior chamber in a balanced salt solution in one step. This article reviews the features of NS Endo-Inserter and the outcomes of DSAEK using this device. |
| Databáze: | OpenAIRE |
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