Journal Article10.3109/02713683.2010.506967
Changes in corneal curvatures and anterior segment parameters after descemet stripping automated endothelial keratoplasty.
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TL;DR: DSAEK significantly increased posterior corneal k-reading, posterior Corneal astigmatism, and cornal volume, resulting in a mild hyperopic shift, taking into consideration when performing a triple procedure.
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Abstract: Purpose: To evaluate the influence of Descemet stripping automated endothelial keratoplsty (DSAEK) on corneal curvature and the anterior segment parameters obtained with the Pentacam rotating Scheimpflug camera.Methods: A total of 9 eyes of 9 consecutive patients (3 men, 6 women) were evaluated preoperatively, at 1 and 3 months postoperatively with the Pentacam. We compared preoperative and 1- and 3-month postoperative measurements of anterior and posterior corneal curvature, anterior and posterior corneal astigmatism, anterior chamber depth (ACD), anterior chamber volume (ACV), anterior chamber angle (ACA) width, central corneal thickness (CCT), and the corneal volume (CV).Results: Preoperative CCT decreased from 687 ± 85 microns to 631 ± 68 microns at 3 months after surgery (p = 0.07). Anterior mean K reading of the cornea flattened from 43.3 ± 1.65 diopter before surgery to 42.7 ± 1.5 diopter at 3 months (p = 0.03). Anterior corneal astigmatism did not change significantly. Posterior mean K reading of ...
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Citations
Refractive outcomes following cataract combined with lamellar keratoplasty: femtosecond-DSEK versus microkeratome-DSAEK.
TL;DR: Refractive outcomes of cataract surgery combined with FS-DSEK are relatively neutral, whereas those of catarsis combined with microkeratome-assisted DSAEK cause significant hyperopic shift, and clinicians should select accordingly an appropriate intraocular lens power when performing these surgeries.
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Systematic Review and Meta-Analysis of Clinical Outcomes of Descemet Membrane Endothelial Keratoplasty Versus Descemet Stripping Endothelial Keratoplasty/Descemet Stripping Automated Endothelial Keratoplasty
TL;DR: DMEK is superior to DSAEK for the following outcomes: visual acuity, central corneal thickness, and patient satisfaction, however, D SAEK is inferior to DMEK with respect to the need for rebubbled as the rebubbling rate was higher in the DMEk group.
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Anterior Chamber Characteristics, Endothelial Parameters, and Corneal Densitometry After Descemet Stripping Automated Endothelial Keratoplasty in Patients With Fuchs Dystrophy.
TL;DR: In this article, the authors compared anterior segment parameters in patients with Fuchs endothelial dystrophy (FED) who underwent Descemet stripping automated endothelial keratoplasty (DSAEK) in one eye and no corneal surgery in the fellow eye.
Hitting the refractive target in corneal endothelial transplantation triple procedures: A systematic review.
Rosaria Maria Giglio,Alex Lucia Vinciguerra,Alberto Grotto,Serena Milan,Daniele Tognetto +4 more
TL;DR: To understand the mechanism underlying the hyperopisation and to identify predictive factors for poorer refractive outcomes, the most suitable target refraction and IOL calculation methods in patients undergoing combined cataract extraction and lamellar endothelial corneal transplantation (DSAEK or DMEK) for endothelial dysfunctions are sought.
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Refractive changes after different modifications of endothelial keratoplasty
TL;DR: Clinical refraction data shows presence of hypermetropic changes after DSAEK surgery, and there were no statistically significant differences in 'final' RMS higher-order aberrations between DMEK and DSAeK groups.
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References
Descemet-stripping automated endothelial keratoplasty.
TL;DR: DSAEK surgery allows rapid, excellent BSCVA visual recovery, and the rate of visual recovery is more rapid than usually found with penetrating keratoplasty.
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Descemet's stripping endothelial keratoplasty: safety and outcomes: a report by the American Academy of Ophthalmology.
W. Barry Lee,Deborah S. Jacobs,David C. Musch,Stephen C. Kaufman,William J. Reinhart,Roni M. Shtein +5 more
TL;DR: DSEK appears similar to penetrating keratoplasty (PK) and seems to be superior to PK in terms of earlier visual recovery, refractive stability, postoperative refractive outcomes, wound and suture-related complications, and intraoperative and late suprachoroidal hemorrhage risk.
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Descemet membrane endothelial keratoplasty (DMEK).
TL;DR: DMEK may provide quick visual rehabilitation in the treatment of corneal endothelial disorders by transplantation of an organ-cultured DM transplanted through a clear corneAL tunnel incision.
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Descemet's stripping with endothelial keratoplasty in 50 eyes: a refractive neutral corneal transplant.
TL;DR: Compared to standard penetrating keratoplasty, DSEK causes minimal refractive change and provides rapid visual recovery for patients with endothelial dysfunction and significant improvement was noted in mean best spectacle-corrected visual acuity.
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