PDF(Pubmed)
Abstract：
UNASSIGNED: The most common complications after performing the triple Descemet\'s stripping automated endothelial keratoplasty (DSAEK), which combines the cataract phacoemulsification, intraocular lens implantation and DSAEK procedure, are detachment or decentration of the donor lamella and postoperative interface haze. One reason for this is the retained viscoelastic used during surgery.
UNASSIGNED: This study aimed to describe triple DSAEK procedure without the usage of viscoelastic and to discuss its potential benefits on surgical outcomes.
UNASSIGNED: The surgical procedures and outcomes of patients with Fuchs\' dystrophy and lens opacification who underwent the triple DSAEK were retrospectively reviewed. The surgical procedure was described, and postoperative complications were studied.
UNASSIGNED: The study included 10 eyes of 10 patients. Capsulorhexis and IOL implantation performed in locally potentiated anesthesia compared to general anesthesia did not significantly differ (P > 0,05). The mean preoperative best-corrected visual acuity was 0.75 LogMar. The mean postoperative best-corrected visual acuity was 0.2 LogMar. The central graft thickness before surgery was 129.6 μm and 6 months after surgery was 114.2 μm. Successful attachment of the donor lamellae was observed in all 10 patients. None of the patients had postoperative interface haze or any other possible viscoelastic caused complication.
UNASSIGNED: Although viscoelastic can facilitate certain aspects of the triple DSAEK procedure, we conclude that this procedure can be performed completely without its use. If performed by a trained surgeon, the procedure can be feasible without the complications of donor lamella detachment, decentration, or interface haze.
UNASSIGNED: This study aimed to describe triple DSAEK procedure without the usage of viscoelastic and to discuss its potential benefits on surgical outcomes.
UNASSIGNED: The surgical procedures and outcomes of patients with Fuchs\' dystrophy and lens opacification who underwent the triple DSAEK were retrospectively reviewed. The surgical procedure was described, and postoperative complications were studied.
UNASSIGNED: The study included 10 eyes of 10 patients. Capsulorhexis and IOL implantation performed in locally potentiated anesthesia compared to general anesthesia did not significantly differ (P > 0,05). The mean preoperative best-corrected visual acuity was 0.75 LogMar. The mean postoperative best-corrected visual acuity was 0.2 LogMar. The central graft thickness before surgery was 129.6 μm and 6 months after surgery was 114.2 μm. Successful attachment of the donor lamellae was observed in all 10 patients. None of the patients had postoperative interface haze or any other possible viscoelastic caused complication.
UNASSIGNED: Although viscoelastic can facilitate certain aspects of the triple DSAEK procedure, we conclude that this procedure can be performed completely without its use. If performed by a trained surgeon, the procedure can be feasible without the complications of donor lamella detachment, decentration, or interface haze.
摘要：
■进行三重Descemet剥离自动内皮角膜移植术（DSAEK）后最常见的并发症，结合了白内障超声乳化术，人工晶状体植入和DSAEK手术，是供体薄片的脱离或偏心以及术后界面雾霾。其一个原因是在手术期间使用的保留的粘弹性。
■本研究旨在描述不使用粘弹性的三重DSAEK手术，并讨论其对手术结果的潜在益处。
■对接受三重DSAEK治疗的Fuchs营养不良和晶状体混浊患者的手术方法和结果进行回顾性分析。描述了外科手术，并对术后并发症进行了研究。
■该研究包括10名患者的10只眼。局部强化麻醉与全身麻醉相比，撕囊术和人工晶状体植入术没有显着差异（P>0.05）。术前平均最佳矫正视力为0.75LogMar。术后平均最佳矫正视力为0.2LogMar。手术前中心移植物厚度为129.6μm，手术后6个月为114.2μm。在所有10名患者中均观察到供体薄片的成功附着。没有患者出现术后界面雾霾或任何其他可能的粘弹性引起的并发症。
■尽管粘弹性可以促进三重DSAEK程序的某些方面，我们得出的结论是，这个过程可以完全不使用。如果由训练有素的外科医生执行，该程序是可行的，没有供体薄片脱离的并发症，权力下放,或界面雾霾。
■本研究旨在描述不使用粘弹性的三重DSAEK手术，并讨论其对手术结果的潜在益处。
■对接受三重DSAEK治疗的Fuchs营养不良和晶状体混浊患者的手术方法和结果进行回顾性分析。描述了外科手术，并对术后并发症进行了研究。
■该研究包括10名患者的10只眼。局部强化麻醉与全身麻醉相比，撕囊术和人工晶状体植入术没有显着差异（P>0.05）。术前平均最佳矫正视力为0.75LogMar。术后平均最佳矫正视力为0.2LogMar。手术前中心移植物厚度为129.6μm，手术后6个月为114.2μm。在所有10名患者中均观察到供体薄片的成功附着。没有患者出现术后界面雾霾或任何其他可能的粘弹性引起的并发症。
■尽管粘弹性可以促进三重DSAEK程序的某些方面，我们得出的结论是，这个过程可以完全不使用。如果由训练有素的外科医生执行，该程序是可行的，没有供体薄片脱离的并发症，权力下放,或界面雾霾。
