Ultrathin Descemet stripping automated endothelial keratoplasty

被引：14
作者：
Durrani, Asad F. [1 ]
Faith, Samuel C. [2 ]
Jhanji, Vishal [1 ]
机构：
[1] Univ Pittsburgh, Sch Med, Dept Ophthalmol, 203 Lothrop St, Pittsburgh, PA 15213 USA
[2] West Texas Eye Associates, El Paso, TX USA
来源：
CURRENT OPINION IN OPHTHALMOLOGY | 2019年 / 30卷 / 04期
关键词：
Descemet membrane endothelial keratoplasty; endothelial keratoplasty; eye bank; graft thickness; ultrathin Descemet stripping automated endothelial keratoplasty; TISSUE-PREPARATION; GRAFT THICKNESS; PASS TECHNIQUE; DONOR TISSUE; DSAEK; SINGLE; ABERRATIONS; REJECTION; SURVIVAL; OUTCOMES;
D O I：
10.1097/ICU.0000000000000575
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
Purpose of review Endothelial keratoplasty has evolved tremendously since its inception. Thick Descemet stripping automated endothelial keratoplasty (DSAEK) grafts have made sway for slimmer ultrathin Descemet stripping automated endothelial keratoplasty (UT-DSAEK). This review discusses the recent literature comparing outcomes of UT-DSAEK, DSAEK, and Descemet membrane endothelial keratoplasty (DMEK). Recent findings DMEK provides quick visual recovery and has remarkably low incidence of graft rejection. However, the learning curve is long compared to DSAEK. UT-DSAEK utilizes donor grafts less than 100-mm thick. Recent studies comparing DMEK and UT-DSAEK have shown DMEK has better visual outcomes with similar rejection rates. Summary UT-DSAEK remains an excellent surgical option for endothelial keratoplasty in eyes with complex anterior segment anatomy. The visual outcomes after UT-DSAEK have been shown to be superior when compared with DSAEK. Recent studies show that DMEK provides better visual outcomes compared with UT-DSAEK.
引用
收藏
页码：264 / 270
页数：7
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