Universität zu Köln

Tourtas, Theofilos ORCID: 0000-0002-3465-9837, Heindl, Ludwig M., Kopsachilis, Nikolaos, Bachmann, Bjoern O., Kruse, Friedrich E. and Cursiefen, Claus (2013). Use of Accidentally Torn Descemet Membrane to Successfully Complete Descemet Membrane Endothelial Keratoplasty. Cornea, 32 (11). S. 1418 - 1423. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1536-4798

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Abstract

Purpose:To describe the use of an accidentally torn Descemet membrane (DM) to successfully complete Descemet membrane endothelial keratoplasty (DMEK) surgery.Methods:Retrospective, observational case series of 3 eyes of 3 patients undergoing DMEK with a DM accidentally torn into 2 pieces during graft preparation. The mean outcome measures included best-corrected visual acuity, endothelial cell density, and central corneal thickness, before and at 1, 3, and 6 months after the DMEK surgery was performed.Results:During graft preparation, immediately before transplantation, a large tear within the 8.0-mm marking line of the DM occurred, resulting in a DM torn into 2 pieces. In all the eyes, both pieces were successfully implanted into the anterior chamber, unfolded and attached to the posterior corneal stroma, one after the other. Six months after the surgery was performed, the best-corrected visual acuity ranged between 20/30 and 20/25. Endothelial cell loss was about 30% (range 28%-32%) 6 months after the surgery. Pachymetry findings showed normal corneal thickness 6 months after the surgery. All corneas remained clear without any signs of graft failure within 6 months of follow-up.Conclusions:DMEK surgery can be successfully completed despite the accidental tearing of donor DMs during the preparation of DMEK grafts by the sequential implantation of both DM pieces.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Tourtas, Theofilos UNSPECIFIED orcid.org/0000-0002-3465-9837 UNSPECIFIED Heindl, Ludwig M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kopsachilis, Nikolaos UNSPECIFIED UNSPECIFIED UNSPECIFIED Bachmann, Bjoern O. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kruse, Friedrich E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cursiefen, Claus UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-472963
DOI:	10.1097/ICO.0b013e3182a6ea4f
Journal or Publication Title:	Cornea
Volume:	32
Number:	11
Page Range:	S. 1418 - 1423
Date:	2013
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1536-4798
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SPLIT CORNEA TRANSPLANTATION; RECOVERY; DMEK; EYES Multiple languages Ophthalmology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/47296