Haendel, Alexander, Siebelmann, Sebastian, Hoz, Denis, Oegruenc, Ferdi, Matthaei, Mario, Cursiefen, Claus and Bachmann, Bjoern (2021). Comparison of Mini-DMEK versus predescemetal sutures as treatment of acute hydrops in keratoconus. Acta Ophthalmol., 99 (8). S. E1326 - 8. HOBOKEN: WILEY. ISSN 1755-3768
Full text not available from this repository.Abstract
Purpose To compare two surgical treatment options for acute corneal hydrops in keratoconus: Mini-DMEK versus predescemetal sutures. Methods Sixteen patients were treated by either Mini-Descemet membrane endothelial keratoplasty (Mini-DMEK) (n = 7, group 1) or predescemetal sutures (n = 9, group 2) early after onset of acute hydrops. Visual acuity, maximum corneal thickness (SD-OCT) in the affected oedematous area, complications and recurrence rates were retrospectively compared between both groups. Measurements were taken immediately preoperatively as well as 1 day, 1 week and 1 month postoperatively (Table 1). Results Both groups showed reductions in corneal thickness and increased visual acuity shortly after surgery. In group 1 (average age 33 years +/- 7 years), the best corrected visual acuity (BCVA) increased from logMAR 1.65 +/- 0.7 before Mini-DMEK to logMAR 0.93 +/- 0.6 30 days after Mini-DMEK (p = 0.046). During that period, maximum corneal thickness decreased from 1159 +/- 338 mu m before surgery to 531 +/- 75 mu m after Mini-DMEK (p = 0.046). Patients from group 2 (average age 34 +/- 10 years) had a BCVA of logMAR 1.59 +/- 0.8 which increased to logMAR 0.97 +/- 0.5 (p = 0.014) 30 days after surgery. At the same time, the preoperative maximum corneal thickness decreased from 1439 +/- 272 mu m to 476 +/- 162 mu m (p = 0.014). There was no difference in corneal thickness or BCVA one month after the surgical intervention between both groups (p = 0.394 and p = 0.871). Conclusions Both techniques, Mini-DMEK and predescemetal sutures, are effective in the treatment of an acute hydrops in keratoconus. Mini-DMEK appears to be beneficial in large DM tears.
Item Type: | Journal Article | ||||||||||||||||||||||||||||||||
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URN: | urn:nbn:de:hbz:38-562462 | ||||||||||||||||||||||||||||||||
DOI: | 10.1111/aos.14835 | ||||||||||||||||||||||||||||||||
Journal or Publication Title: | Acta Ophthalmol. | ||||||||||||||||||||||||||||||||
Volume: | 99 | ||||||||||||||||||||||||||||||||
Number: | 8 | ||||||||||||||||||||||||||||||||
Page Range: | S. E1326 - 8 | ||||||||||||||||||||||||||||||||
Date: | 2021 | ||||||||||||||||||||||||||||||||
Publisher: | WILEY | ||||||||||||||||||||||||||||||||
Place of Publication: | HOBOKEN | ||||||||||||||||||||||||||||||||
ISSN: | 1755-3768 | ||||||||||||||||||||||||||||||||
Language: | English | ||||||||||||||||||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||||||||||||||||||
Subjects: | no entry | ||||||||||||||||||||||||||||||||
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URI: | http://kups.ub.uni-koeln.de/id/eprint/56246 |
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