Standardized "No-Touch" Technique for Descemet Membrane Endothelial Keratoplasty

被引：320
作者：
Dapena, Isabel [1 ,2 ]
Moutsouris, Kyros [1 ,2 ]
Droutsas, Konstantinos [1 ,2 ]
Ham, Lisanne [1 ,2 ]
van Dijk, Korine [1 ,2 ]
Melles, Gerrit R. J. [1 ,2 ,3 ]
机构：
[1] Netherlands Inst Innovat Ocular Surg, NL-3071 AA Rotterdam, Netherlands
[2] Melles Cornea Clin Rotterdam, Rotterdam, Netherlands
[3] Amnitrans Eyebank Rotterdam, Rotterdam, Netherlands
来源：
ARCHIVES OF OPHTHALMOLOGY | 2011年 / 129卷 / 01期
关键词：
POSTERIOR LAMELLAR KERATOPLASTY; ONE DONOR CORNEA; CELL DENSITY; DMEK; TRANSPLANTATION; TISSUE; INSERTION; INCISION; PRECUT; DSEK;
D O I：
10.1001/archophthalmol.2010.334
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
We describe a standardized technique for "no-touch" isolated Descemet membrane transplant, ie, Descemet membrane endothelial keratoplasty (DMEK). All essential steps, including patient preparation and descemetorhexis as well asDMEK graft implantation, orientation, unrolling, centering, appositioning, and fixation, are described in detail. In the management of Fuchs endothelial dystrophy, the technique may provide a best-corrected visual acuity of 20/25 or better (>= 0.8) in three-quarters of cases and an endothelial cell density of about 1800 to 2000 cells/mm(2) at 6 months after surgery. No-touch DMEK may therefore be a safe and effective procedure for the treatment of corneal endothelial disorders, making endothelial keratoplasty accessible to most corneal surgeons without requiring major investments while providing an unprecedented visual rehabilitation rate and outcome. Arch Ophthalmol. 2011; 129(1): 88-94
引用
收藏
页码：88 / 94
页数：7
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