Journal of Cataract & Refractive Surgery
Volume 35, Issue 4 , Pages 625-628 , April 2009

Simple technique for graft insertion in Descemet-stripping (automated) endothelial keratoplasty using a 30-gauge needle

Received 10 June 2008 ,Revised 27 October 2008 ,Accepted 28 October 2008.

References 

  1. Melles GRJ. Posterior lamellar keratoplasty: DLEK to DSEK to DMEK. Cornea. 2006;25:879–881
  2. Melles GRJ, Kamminga N. Techniques for posterior lamellar keratoplasty through a scleral incision. Ophthalmologe. 2003;100:689–695
  3. Melles GR, Wijdh RH, Nieuwendaal CP. A technique to excise the Descemet membrane from a recipient cornea (descemetorhexis). Cornea. 2004;23:286–288
  4. Price FW, Price MO. Descemet's stripping with endothelial keratoplasty in 50 eyes: a refractive neutral corneal transplant. J Refract Surg. 2005;21:339–345
  5. Gorovoy MS. Descemet-stripping automated endothelial keratoplasty. Cornea. 2006;25:886–889
  6. Mehta JS, Por YM, Beuerman RW, Tan DT. Glide insertion technique for donor cornea lenticule during Descemet's stripping automated endothelial keratoplasty. J Cataract Refract Surg. 2007;33:1846–1850
  7. Aralikatti A, Dean S, Busin M, Shah S. Pull-through technique for graft insertion in DSAEK. J Cataract Refract Surg. 2008;34:341
  8. Busin M, Bhatt PR, Scorcia V. A modified technique for Descemet membrane stripping automated endothelial keratoplasty to minimize endothelial cell loss. Arch Ophthalmol. 2008;126:1133–1137
  9. Bradley JC, McCartney DL. Descemet's stripping automated endothelial keratoplasty in intraoperative floppy-iris syndrome: suture-drag technique. J Cataract Refract Surg. 2007;33:1149–1150
  10. Cleynenbreugel H, Hillenaar T, Remeijer L. Graft insertion during Descemet stripping automated endothelial keratoplasty: pulling the graft inward. J Cataract Refract Surg. 2008;34:534–536
  11. Kuo AN, Harvey TM, Afshari NA. Novel delivery method to reduce endothelial injury in Descemet stripping automated endothelial keratoplasty. Am J Ophthalmol. 2008;145:91–96
  12. Macaluso C. Closed-chamber pulling-injection system for donor graft insertion in endothelial keratoplasty. J Cataract Refract Surg. 2008;34:353–356
  13. Ide T, Yoo SH, Goldman JM, Perez V, O'Brien TP. Descemet-stripping automated endothelial keratoplasty: effect of inserting forceps on DSAEK donor tissue viability by using an in vitro delivery model and vital dye assay. Cornea. 2007;26:1079–1081
  14. Kaiserman I, Bahar I, McAllum P, Slomovic AR, Rootman DS. Suture-assisted vs forceps-assisted insertion of the donor lenticula during Descemet stripping automated endothelial keratoplasty. Am J Ophthalmol. 2008;145:986–990
  15. Koenig SB, Covert DJ, Dupps WJ, Meisler DM. Visual acuity, refractive error, and endothelial cell density six months after Descemet stripping and automated endothelial keratoplasty (DSAEK). Cornea. 2007;26:670–674
  16. Nieuwendaal CP, Lapid-Gortzak R, van der Meulen IJ, Melles GRJ. Posterior lamellar keratoplasty using descemetorhexis and organ cultured donor corneal tissue (Melles technique). Cornea. 2006;25:933–936
  17. Melles GRJ, Ong TS, Ververs B, van der Wees J. Preliminary clinical results of Descemet membrane endothelial keratoplasty (DMEK). Am J Ophthalmol. 2008;145:222–227

 No author has a financial or proprietary interest in any material or method mentioned.

PII: S0886-3350(09)00031-5

doi: 10.1016/j.jcrs.2008.10.059

Journal of Cataract & Refractive Surgery
Volume 35, Issue 4 , Pages 625-628 , April 2009

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