The graft thickness would be variable in our cases that underwent DSEK
with manual preparation of the donor lenticule.
In this non-randomised, consecutive and interventional prospective case studies, the first 100 consecutive patients (Age [greater than or equal to] 18 years with BCVA [less than or equal to] 20/400) with endothelial dysfunction who were enlisted for corneal grafting in our central register were included for DSEK
ECL in our study was lower than that in the study of Cheng et al . Other studies have reported ECL after small-incision DSEK
and DSAEK between 34% and 61% at 12-month follow-up.,,,, However, Terry et al .
Although newer techniques such as DALK and DSEK
have reduced the risk of complications and recovery periods, there is nevertheless significant convalescence required.
Complications in Dsek
. (11): Donor detachment and dislocation, Raised intraocular pressure and glaucoma, Epithelial ingrowth, Interface haze, Infectious keratitis, Graft rejection, Primary graft failure.
: What You Need to Know about Endothelial Keratoplasty, SLACK Incorporated, Thorofare, NJ, USA, 2009.
Price Jr, "Comparison of manual and automated endothelial cell density analysis in normal eyes and DSEK
eyes," Cornea, vol.
Descemet's stripping endothelial keratoplasty (DSEK
) was introduced in the clinical setting in the last decade to reduce the invasiveness of penetrating keratoplasty and to improve clinical outcomes and is now performed routinely worldwide, largely replacing penetrating keratoplasty.
This could be improved with a customized injector, or using a pull-through technique similar to that employed in Descemet's stripping endothelial keratoplasty (DSEK
2009 reported that 10 of 50 cases required a secondary DSEK
procedure because of complete or partial DMEK detachment , but this complication rate decreased notably as surgeons gain experience, Dirisamer et al.
Such techniques are called Descemet's Stripping Endothelial Keratoplasty (DSEK
), if the lamella is created manually, or Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK), if the lamella is made using a microkeratome or femtosecond laser [5-7].
This concludes that although with a possibility of creating a thin lenticule, the presence of stroma indicates that the technique should not be termed as DMEK but a very thin DSEK