Use of an air–fluid exchange system to promote graft adhesion during Descemet's stripping automated endothelial keratoplasty
Accepted 6 November 2006.
Dislocation of the graft is a well-recognized complication of Descemet's stripping automated endothelial keratoplasty (DSAEK). We describe a technique to promote adhesion of the graft during DSAEK using an anterior chamber air–fluid infusion and exchange for direct control of the pressure and medium used to tamponade the graft against the host stroma.
From the Cole Eye Institute (Meisler, Dupps), Cleveland Clinic, Cleveland, Ohio, and the Eye Institute (Covert, Koenig), Medical College of Wisconsin, Milwaukee, Wisconsin, USA
Corresponding author: William J. Dupps Jr, MD, PhD, Cole Eye Institute/Cleveland Clinic, 9500 Euclid Avenue/i-32, Cleveland, Ohio 44195, USA.
No author has a financial or proprietary interest in any method or material mentioned.
Supported in part by a Research to Prevent Blindness, the Medical College of Wisconsin (S.B.K., D.J.C.), challenge grant to the Department of Ophthalmology of the Cleveland Clinic Lerner College of Medicine and an NIH 8K12 RR023264 multidisciplinary clinical research career development programs grant (W.J.D.).