Manual Preparation of Donor Lenticule Using Artificial Anterior Chamber for Descemet's Membrane Stripping Endothelial Keratoplasty
10.3341/jkos.2020.61.2.209
- Author:
Gye Jung KIM
1
;
Min Chul SHIN
;
Ho Sik HWANG
Author Information
1. Department of Ophthalmology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.
- Publication Type:Case Report
- Keywords:
Descemet's membrane stripping endothelial keratoplasty;
Keratoplasty;
Pseudophakic bullous keratopathy
- MeSH:
Anterior Chamber;
Cornea;
Corneal Edema;
Corneal Transplantation;
Descemet Membrane;
Endothelial Cells;
Female;
Humans;
Lenses, Intraocular;
Methods;
Middle Aged;
Phacoemulsification;
Tissue Donors;
Transplants;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2020;61(2):209-213
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a patient with a pseudophakic bullous keratopathy (PBK) who underwent Descemet's membrane stripping endothelial keratoplasty (DSEK) with manual preparation of the donor corneal graft.CASE SUMMARY: A 61-year-old female presented with visual disturbance in her right eye. Five months prior, she was treated with phacoemulsification and intraocular lens exchange surgery of the right eye, and a very severe corneal edema was revealed by slit-lamp examination. We diagnosed PBK and planned DSEK with manual preparation of a donor corneal graft because of the non-availability of a microkeratome or a femtosecond laser. After making the corneal graft using an artificial anterior chamber, crescent knife and cornea dissector, the keratoplasty proceeded using the graft. Three months after surgery, her graft was well-maintained on the right eye. The patient's visual acuity was 0.3, and the corneal endothelial cell count was 1,844/mm².CONCLUSIONS: Manual preparation of the donor corneal graft for DSEK is suitable as a second choice treatment method when the availability of surgical devices is limited.
