Preliminary results of femtosecond laser-assisted Descemet stripping endothelial keratoplasty for bullous keratopathy

• Published in: Chung-hua yen k'o tsa chih Vol. 52; no. 3; p. 180
• Main Authors: Huang, G F, Gao, Y, Charlotte Aimee, X J, Liao, G B, Xiao, Y J, Li, X, Shi, S Y, Zhou, Shiyou
• Format: Journal Article
• Language: Chinese
• Published: China 01.03.2016
• Subjects: Blister - etiology; Blister - surgery; Cataract Extraction - adverse effects; Corneal Diseases - etiology; Corneal Diseases - surgery; Descemet Membrane - surgery; Descemet Stripping Endothelial Keratoplasty; Endothelium, Corneal; Graft Survival; Humans; Keratoplasty, Penetrating; Postoperative Complications - surgery; Prospective Studies; Tissue Donors; Visual Acuity
• ISSN: 0412-4081
• DOI: 10.3760/cma.j.issn.0412-4081.2016.03.007

To evaluate the preliminary results of femtosecond laser-assisted Descemet stripping endothelial keratoplasty (FS-DSEK) for the treatment of bullous keratopathy. In the nonrandomized, prospective, consecutive case series, 7 eyes with bullous keratopathy induced by cataract surgery received FS-DSEK surgery between September and December 2013. Standard Descemet stripping endothelial keratoplasty procedure was performed. The Descemet membrane and abnormal endothelial layer were stripped from the central recipient posterior surface in a diameter of 7.75 mm. The graft was fixed to the edge of recipient cornea with one single stitch. The donor lenticule was produced by Intralase 150 femtosecond laser with a diameter of 7.75 mm. The adherence of donor lenticule to the recipient posterior stroma and postoperative donor lenticule dislocation were monitored in the early stage after surgery. Best spectacle-corrected visual acuity, refraction, endothelial cell density and thickness of grafts were measured preoperatively,