Descemet-stripping endothelial keratoplasty: Improvement in vision following replacement of a healthy endothelial graft

被引:12
作者
Chen, Edwin S.
Sharnie, Neda [1 ]
Terry, Mark A. [1 ,2 ]
机构
[1] Devers Eye Inst, Portland, OR USA
[2] Lions Vis Res Lab Oregon, Portland, OR USA
关键词
D O I
10.1016/j.jcrs.2008.01.030
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
We describe a case of endothelial graft exchange in a patient who had inadequate vision without a clinically identifiable cause following Descemet-stripping endothelial keratoplasty (DSEK). The initial DSEK was performed with a hand-dissected donor, and the replacement graft was prepared with an automated microkeratome. The best spectacle-corrected visual acuity (BSCVA) improved from 20/50 before replacement to 20/25 after replacement. Although DSEK provides rapid recovery of excellent vision, few patients achieve a BSCVA of 20/20. Some have substandard vision with no clinically identifiable cause. This case demonstrates that replacing a hand-prepared graft with an automated microkeratome-prepared graft may improve vision in patients with no identifiable cause for visual loss.
引用
收藏
页码:1044 / 1046
页数:3
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