Purpose: To report the use of Descemet stripping automated endothelial keratoplasty (DSAEK) for treatment of sterile corneal perforations accompanying endothelial decompensation. Methods: In this multicenter interventional case series, we reviewed the medical records of all tectonic DSAEK surgeries performed at Villa Serena-Villa Igea private Hospitals (ForlÃ¬, Italy) and Rabin Medical Center (Petach Tikva, Israel) between January 2014 and March 2016. Results: Three patients with endothelial decompensation and sterile corneal perforation (n 2) or impending corneal perforation (n 1) underwent DSAEK between 2014 and 2015 at Villa Igea Hospital, ForlÃ¬, Italy, and Rabin Medical Center, Petach Tikva, Israel. All 3 surgeries were performed in eyes with a history of progressive stromal thinning without signs of infection, using the standard DSAEK technique. In 1 eye, surgery was complicated by bleeding into the graft-recipient interface that resolved after intraoperative interface washout. The other 2 procedures were uneventful. In all cases, the graft formed an airtight and watertight barrier, restoring the globe's mechanical integrity. All grafts remained clear throughout follow-up. One eye underwent deep anterior lamellar keratoplasty (DALK on DSAEK) with resulting improvement of visual acuity. Conclusions: Standard DSAEK can be performed in the presence of corneal perforation. Surgery can be a simple technique for closure of sterile corneal perforations while treating endothelial decompensation. Internal tamponade by a lamellar graft can possibly be used in cases of corneal perforations in eyes with a healthy endothelium.
Scheda prodotto non validato
Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo
|Titolo:||Tectonic descemet stripping automated endothelial keratoplasty for the management of sterile corneal perforations in decompensated corneas|
|Data di pubblicazione:||2016|
|Appare nelle tipologie:||03.1 Articolo su rivista|