Descemet Stripping Automated Endothelial Keratoplasty for Treatment of Pseudophakic Bullous Keratopathy

• Main Authors: Banu Torun Acar, Selin Tuğtan, Suphi Acar
• Format: Article
• Language: English
• Published: Galenos Yayinevi 2012-07-01
• Series: Türk Oftalmoloji Dergisi
• Subjects: Descemet’s membrane; endothelial keratoplasty; pseudophakic bullous keratopathy
• Online Access: http://www.oftalmoloji.org/article_2171/Descemet-Stripping-Automated-Endothelial-Keratoplasty-For-Treatment-Of-Pseudophakic-Bullous-Keratopathy
• ISSN: 1300-0659; 2147-2661

Pur po se: To evaluate the results and complications of Descemet stripping automated endothelial keratoplasty (DSAEK) in the treatment of pseudophakic bullous keratopathy (PBK). Ma te ri al and Met hod: Twenty eyes of 20 patients who underwent DSAEK with a diagnosis of PBK in our clinic between September 2010-January 2012 were included in this study. Pre- and postoperative best-corrected visual acuity (BCVA), refraction values, endothelial cell density, and graft position were analyzed. Complications and treatments were recorded. Re sults: The mean age of the 20 patients (11female, 9 male) was 71.44±7.55 years (range: 56-83 years) and the mean follow-up time was 11.35±3.90 months (range: 3-16 months). Preoperative mean BCVA was 0.04±0.044 and 12-month BCVA was 0.55±0.22 (p=0.001). Mean endothelial cell density was 1508.42±254.82 cell/mm² at 12-month follow-up visit. Dislocation of graft lenticule occurred in five patients and graft failure occurred in one patient. Dis cus si on: DSAEK, due to the more rapid rehabilitation, is an alternative to penetrating keratoplasty in the treatment of endothelial diseases despite the steep learning curve and different complications. (Turk J Ophthalmol 2012; 42: 263-68)