RESULTS OF DESCEMET'S STRIPPING WITH ENDOTHELIAL KERATOPLASTY (DSEK) IN PATIENTS WITH BULLOUS KERATOPATHY AFTER CATARACT SURGERY

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BARADARAN RAFIEI ALI REZA; KARIMIAN FARID; JAVADI M.A.; MOHAMMADPOUR MEHRDAD; EYN ELAHI BAHRAM; ZARE JOUSHAGHANI MOHAMMAD; JAFARINASAB M.R.; MIRDEHGHAN A.

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Journal: BINA Year:2007 | Volume:12 | Issue:2 (47) Page(s): 196-202

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Title

RESULTS OF DESCEMET'S STRIPPING WITH ENDOTHELIAL KERATOPLASTY (DSEK) IN PATIENTS WITH BULLOUS KERATOPATHY AFTER CATARACT SURGERY

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Abstract

Purpose: To evaluate the anatomical and visual outcomes of Descemefs stripping with endothelial keratoplasty (DSEK) in patients with bullous keratopathy after cataract surgery.Methods: The study was performed on 20 eyes of 20 patients (13 male, 7 female) with bullous keratopathy (pseudophakic=15, aphakic=5). Donor lenticule was prepared using a microkeratome (n=12) or manual dissection (n=8). Patients were excluded in case of extensive corneal scarring and/or vascularization. DSEK surgery was performed by removal of recipient endothelium and Descemet's membrane, and replacement by the donor lenticule. Patients were followed at least for 6 months.Results: Mean age at surgery was 64.6±6.7 years and mean follow up was 7.3±2.1 months. At final follow up 15 grafts were clear. Failure was seen in 5 cases. Visual acuity LogMAR was 1.96±0.38 before and 0.52±0.09 after the procedure (P<0.0001). Mean topographic keratometry was 46.0±2.9 D before surgery which reached 44.4±1.7 D postoperatively (P=0.219). Preoperative astigmatism was 2.5±1.7 D which decreased to 1.1±2.3 D at final follow up (P=0.229). Mean pre- and postoperative surface regularity index (SRI) were 1.47±0.60 and 0.43±0.17, respectively (P=0.006). No case of endothelial rejection was observed.Conclusion: DSEK surgery is an effective treatment modality in cases of bullous keratopathy after cataract surgery with acceptable anatomical and visual outcomes.

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بررسی علل پیوند قرنیه و نتایج حاصل از آن در مرکز پزشکی شهید لبافی نژاد بین سال های 1365 لغایت 1372

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APA: Copy

BARADARAN RAFIEI, ALI REZA, KARIMIAN, FARID, JAVADI, M.A., MOHAMMADPOUR, MEHRDAD, EYN ELAHI, BAHRAM, ZARE JOUSHAGHANI, MOHAMMAD, JAFARINASAB, M.R., & MIRDEHGHAN, A.. (2007). RESULTS OF DESCEMET'S STRIPPING WITH ENDOTHELIAL KERATOPLASTY (DSEK) IN PATIENTS WITH BULLOUS KERATOPATHY AFTER CATARACT SURGERY. BINA, 12(2 (47)), 196-202. SID. https://sid.ir/paper/42735/en

Vancouver: Copy

BARADARAN RAFIEI ALI REZA, KARIMIAN FARID, JAVADI M.A., MOHAMMADPOUR MEHRDAD, EYN ELAHI BAHRAM, ZARE JOUSHAGHANI MOHAMMAD, JAFARINASAB M.R., MIRDEHGHAN A.. RESULTS OF DESCEMET'S STRIPPING WITH ENDOTHELIAL KERATOPLASTY (DSEK) IN PATIENTS WITH BULLOUS KERATOPATHY AFTER CATARACT SURGERY. BINA[Internet]. 2007;12(2 (47)):196-202. Available from: https://sid.ir/paper/42735/en

IEEE: Copy

ALI REZA BARADARAN RAFIEI, FARID KARIMIAN, M.A. JAVADI, MEHRDAD MOHAMMADPOUR, BAHRAM EYN ELAHI, MOHAMMAD ZARE JOUSHAGHANI, M.R. JAFARINASAB, and A. MIRDEHGHAN, “RESULTS OF DESCEMET'S STRIPPING WITH ENDOTHELIAL KERATOPLASTY (DSEK) IN PATIENTS WITH BULLOUS KERATOPATHY AFTER CATARACT SURGERY,” BINA, vol. 12, no. 2 (47), pp. 196–202, 2007, [Online]. Available: https://sid.ir/paper/42735/en

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