May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Anterior Segment Optical Coherence Tomography (AS OCT) Findings After Descemet’s Stripping Automated Endothelial Keratoplasty (DSAEK)
Author Affiliations & Notes
  • S. H. Yoo
    Sch of Med, Bascom Palmer Eye Institite, Miami, Florida
  • G. D. Kymionis
    Sch of Med, Bascom Palmer Eye Institite, Miami, Florida
  • A. A. Deobhakta
    Sch of Med, Bascom Palmer Eye Institite, Miami, Florida
  • T. Ide
    Sch of Med, Bascom Palmer Eye Institite, Miami, Florida
  • F. Manns
    Sch of Med, Bascom Palmer Eye Institite, Miami, Florida
  • W. W. Culbertson
    Sch of Med, Bascom Palmer Eye Institite, Miami, Florida
  • T. P. O’Brien
    Sch of Med, Bascom Palmer Eye Institite, Miami, Florida
  • E. C. Alfonso
    Sch of Med, Bascom Palmer Eye Institite, Miami, Florida
  • Footnotes
    Commercial Relationships  S.H. Yoo, None; G.D. Kymionis, None; A.A. Deobhakta, None; T. Ide, None; F. Manns, None; W.W. Culbertson, None; T.P. O’Brien, None; E.C. Alfonso, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 1043. doi:https://doi.org/
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      S. H. Yoo, G. D. Kymionis, A. A. Deobhakta, T. Ide, F. Manns, W. W. Culbertson, T. P. O’Brien, E. C. Alfonso; Anterior Segment Optical Coherence Tomography (AS OCT) Findings After Descemet’s Stripping Automated Endothelial Keratoplasty (DSAEK). Invest. Ophthalmol. Vis. Sci. 2008;49(13):1043. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : To report anterior segment Optical Coherence Tomography (AS OCT) findings and results of Descement Stripping with Automated Endothelial Keratoplasty (DSAEK) combined with phacoemulsification in cataract patients with Fuchs’ endothelial dystrophy

Methods: : Twelve eyes of eleven patients (one after bilateral procedures) with at least one year follow-up were reviewed. Measured parameters included best spectacle corrected visual acuity (BSCVA), refractive spherical equivalent (SE) and predictability, anterior corneal keratometric values, complications, and AS OCT findings.

Results: : Mean follow up was 14.33 months (range, from 12 to 18 months). BSCVA was unchanged (8%) or improved (92%) in all eyes compared with the preoperative levels. A discrepancy between the targeted postoperative refraction and the actual postoperative spherical equivalent (SE) refraction (hyperopic shift) of +1.46 D+ 0.76 D (range, -0.05 to +3.14) was observed. There was a significant correlation between the ratio of central versus the average peripheral donor corneal lenticule thickness (described as Central/Peripheral ratio at 3mm zone) and induced hyperopic shift (r=-0.81, p=0.001).

Conclusions: : DSAEK combined with phacoemulsification and IOL implantation in patients with coexisting Fuchs’ endothelial dystrophy and cataracts improved BSCVA without progressive time-dependent complications. There is a correlation between donor corneal lenticule shape and induced hyperopic shift.

Keywords: imaging/image analysis: clinical • imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound) • cornea: clinical science 
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