[Home ] [Archive]   [ فارسی ]  
:: Volume 22, Issue 4 (Iranian Journal of Ophthalmology 2010) ::
2010, 22(4): 31-42 Back to browse issues page
Randomized, Prospective Comparison of Clinical Outcomes and Confocal Findings of Precut versus Manually Dissected Grafts for Descemet’s Stripping Endothelial Keratoplasty
Mohammad Nasser Hashemian Dr., Farshad Ostadian Dr. * , Shahram Bamdad Dr., Firoozeh Rahimi Dr., Hassan Hashemi Dr., Mojgan Rezaie Kanavi Dr., Mohammadreza Fallah Tafti Dr.
, ostadianfarshad@yahoo.com
Abstract:   (11280 Views)

Purpose : To compare the outcome of surgery and postoperative complications between using manually dissected cornea in Descemet’s stripping with endothelial keratoplasty (DSEK) and using eye bank automated precut cornea in Descemet’s stripping with automated endothelial keratoplasty (DSAEK)

Methods : Forty eyes with indication of endothelial keratoplasty (EK) were included in this randomized prospective clinical trial. The eyes were randomly divided into two groups. Donor cornea in one group was dissected with curved blade by the surgeon, while precut cornea from eye bank was used in other group. All surgeries were performed in one center by three surgeons, authors of the article. Patients were followed for 3 months.

Results : Baseline parameters and demographic features were not significantly different between the two groups. The most common indication of EK in both groups was pseudophakic bullous keratopathy (PBK) (60%). Endothelial cell loss in DSEK and DSAEK were 51.59% and 50.70%, respectively after 3 months follow-up (P=0.947). Best spectacle-corrected visual acuity (BSCVA) and intraocular pressure (IOP) after surgery and postoperative complications were not significantly different in both groups. Prevalence and intensity of interface opacity was significantly lower in DSAEK group after surgery. BSCVA equal or more than 20/100 was detected in 85% and 75% individuals in DSAEK and DSEK groups, respectively.

Conclusion : In conclusion, three months postoperative outcomes of EK were similar in the two groups of precut DSAEK and manually dissected DSEK. Smooth and uniform layer in precut DSAEK leads to lower interface opacity in patients.

  

Iranian Journal of Ophthalmology 201022(4):31-42 © 2010 by the Iranian Society of Ophthalmology
Keywords: Endothelial Keratoplasty, Manually Dissected, Automated Dissected
Full-Text [PDF 371 kb]   (2165 Downloads)    
Type of Study: Original | Subject: General
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA code


XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Hashemian M N, Ostadian F, Bamdad S, Rahimi F, Hashemi H, Rezaie Kanavi M et al . Randomized, Prospective Comparison of Clinical Outcomes and Confocal Findings of Precut versus Manually Dissected Grafts for Descemet’s Stripping Endothelial Keratoplasty. Iranian Journal of Ophthalmology. 2010; 22 (4) :31-42
URL: http://irjo.org/article-1-404-en.html


Volume 22, Issue 4 (Iranian Journal of Ophthalmology 2010) Back to browse issues page
مجله چشم پزشکی ایران Iranian Journal of Ophthalmology
Persian site map - English site map - Created in 0.05 seconds with 30 queries by YEKTAWEB 3790