Surgical outcomes of endothelial keratoplasty safety-basket suture for management of difficult cases
| Autor: | Sumit Garg, Mathew Wade, Marjan Farid, Soroosh Behshad |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Graft failure Visual Acuity Cell Count Aphakia 03 medical and health sciences 0302 clinical medicine Suture (anatomy) Chart review Postoperative infection Medicine Humans Endothelial dysfunction Aged Retrospective Studies Aged 80 and over business.industry Corneal Edema Endothelium Corneal Fuchs' Endothelial Dystrophy Graft Survival Suture Techniques Retrospective cohort study General Medicine Corneal Endothelial Cell Loss Middle Aged Descemet stripping automated endothelial keratoplasty medicine.disease Surgery Ophthalmology Treatment Outcome 030221 ophthalmology & optometry Female business Descemet Stripping Endothelial Keratoplasty |
| Zdroj: | Canadian journal of ophthalmology. Journal canadien d'ophtalmologie. 54(6) |
| ISSN: | 1715-3360 |
| Popis: | Objective To report outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) safety-basket suture technique in complex eyes in which an air bubble could not be maintained in the anterior chamber. Study design Retrospective chart review. Participants Patient's undergoing DSAEK with use of the safety-basket suture technique in patients with corneal edema secondary to endothelial dysfunction with up to 3 years of follow-up between 2013 and 2016. Methods Outcome measures were corrected distance visual acuity, average endothelial cell count loss, graft decentration, graft detachment, rebubble rate, infection rate, graft rejection, and graft failure were analyzed. Results The technique was used successfully for 36 high-risk cases with no incidence of graft decentration, postoperative infection, or graft rejection. Both the graft detachment and rebubble rate was found to be 11.1%. The graft failure rate was found to be 22.2% with an average of 3.3 months, with 37.5% of these being primary failure and 62.5% of these being secondary failure. Conclusions Endothelial keratoplasty safety-basket suture is a technique that can be beneficial in difficult DSAEK cases with a lower graft detachment rate compared with the current literature as well as a fairly low complication rate and graft failure while maintaining good visual outcomes. The safety-basket suture is the technique of choice for cases of aphakia and may allow for DSAEK in cases previously that may have only been considered for full-thickness keratoplasty. |
| Databáze: | OpenAIRE |
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