Abstract
Posterior lamellar keratoplasty with DSEK technique and use of the Tan EndoGlide – short-term results
- Katedra i Klinika Chorób Oczu Collegium Medicum Uniwersytetu Mikołaja Kopernika w Bydgoszczy
Introduction
To present the differences in surgical technique of DSEK (Descemet’s Stripping Endothelial Keratoplasty) with the use of Tan EndoGlide (Coronet, UK) and Busin Glide (Moria, FR). Short-term results will also be presented.
Material and methods
DSEK was performed in 24 eyes, in 8 cases the surgery was combined with cataract phacoemulsification and IOL implantation. Surgery course and 6 months postoperative results of first 12 eyes performed with the use of Tan EndoGlide were compared with 12 consecutive eyes preformed with Busin Glide.
Results
Tan EndoGlide provided much more stable anterior chamber, donor tissue unfolding process was better controlled but the incision was wider incision. Surgically induced mean refractory cylinder 6 months after the surgery was 1.56 ± 1.15 Dsph in Tan EndoGlide group and 1.18 ± 1.10 Dsph in Busin Glide group (P <0.05). The endothelial cell loss was 20.5% and 21.12% respectively (P>0.05). Mean CDVA was 0.65 ± 0.27 and 0.63 ± 0.25, respectively (P>0,05). Statistically significant differences in intra- and post-operative complications between both groups were not found.
Conclusions
The Tan EndoGlide used during posterior lamellar keratoplasty with DSEK technique is a good alternative to currently used methods. It provides better stabilization of the anterior chamber, however its use is linked with higher postoperative astigmatism in comparison with Busin Glide. The visual outcomes and endothelial cell loss 6 months after the surgery were similar in both groups.
Keywords
posterior lamellar keratoplasty, DSEK, Tan EndoGlide
Integrated with
