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Acta clinica Croatica, Vol. 57. No. 4., 2018.

Original scientific paper

https://doi.org/10.20471/acc.2018.57.04.07

Postoperative Thinning of Lamellar Donor Graft after Conventional Descemet’s Stripping Automated Endothelial Keratoplasty

Ana Meter ; Department of Ophthalmology, Zagreb University Hospital Centre, School of Medicine, University of Zagreb, Zagreb, Croatia
Tomislav Kuzman ; Department of Ophthalmology, Zagreb University Hospital Centre, School of Medicine, University of Zagreb, Zagreb, Croatia
Miro Kalauz ; Department of Ophthalmology, Zagreb University Hospital Centre, School of Medicine, University of Zagreb, Zagreb, Croatia
Ivan Škegro ; Department of Ophthalmology, Zagreb University Hospital Centre, School of Medicine, University of Zagreb, Zagreb, Croatia
Sanja Masnec ; Department of Ophthalmology, Zagreb University Hospital Centre, School of Medicine, University of Zagreb, Zagreb, Croatia
Josip Pavan ; Department of Ophthalmology, Dubrava University Hospital, Zagreb, Croatia

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Abstract

The purpose of this study was to evaluate postoperative deturgescence of lamellar donor graft after conventional Descemet’s stripping automated endothelial keratoplasty (DSAEK). It was a prospective study that included 55 eyes of patients (mean age 70.9±9.4 years; female 61.8%, male 38.2%). Preoperative thickness of lamella was compared with postoperative thickness six months after surgery. Central lamellar graft thickness decreased from 142±27 µm preoperatively to 124±20 µm 6 months postoperatively (p<0.01). After performing conventional DSAEK corneal transplantation, surgeons should expect deturgescence of corneal graft and reduction in thickness of lamellae by about 12% of initial thickness according to our results. We found this information important for better planning of surgical procedures and knowing what to expect after surgery, as well as for better cooperation with eye banks when ordering pre-cut corneal tissue.

Keywords

Descemet stripping endothelial keratoplasty; Cornea; Corneal pachymetry; Tomography, optical coherence

Hrčak ID:

217817

URI

https://hrcak.srce.hr/217817

Publication date:

1.12.2018.

Article data in other languages: croatian

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