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BRIEF COMMUNICATION
Year : 2016  |  Volume : 64  |  Issue : 2  |  Page : 162-164

Two cases of ultrathin Descemet stripping automated endothelial keratoplasty utilizing a graft that had undergone radial keratotomy


1 Department of Ophthalmology, Villa Igea Hospital, Forlž, Italy; Istituto Internazionale per la Ricerca e Formazione in Oftalmologia, Forlž, Italy; Department of Ophthalmology, Rabin Medical Center, Petah Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
2 Fondazione Banca degli Occhi del Veneto, Venice, Italy
3 Department of Ophthalmology, Villa Igea Hospital, Forlž; Istituto Internazionale per la Ricerca e Formazione in Oftalmologia, Forlž, Italy

Correspondence Address:
Massimo Busin
Department of Ophthalmology, Villa Igea Hospital, Viale Gramsci 42, 47122 Forlž
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.179713

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This is a report of two cases in which tissue that had undergone radial keratotomy (RK) was utilized for double-pass ultrathin Descemet stripping automated endothelial keratoplasty (UT-DSAEK). Postoperative slit-lamp examination, visual acuity, anterior segment optical coherence tomography, and specular microscopy were available 30 months after surgery. Both corneas from a donor, who had undergone RK several years before his demise, and were otherwise suitable for endothelial keratoplasty were prepared for UT-DSAEK using double-pass dissection using first a 300 mm microkeratome head and then a 130μm microkeratome head (ALTK system, Moria, Antony, France). After the second cut, the tissue was punched to 9.0 mm and transplanted in two eyes with endothelial decompensation according to standard technique. As early as 3 months after surgery, both patients had 20/25 best-corrected visual acuity, which remained stable for the following 27 months. Postoperative endothelial cell loss was 34% and 57% at 2.5 years. In conclusion, post-RK donor tissue can be used for UT-DSAEK.


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