On the possibilities of Descemet’s stripping automated endothelial keratoplasty with ultrathin graft (clinical case)
A.N. PASHTAEV, K.N. KUZMICHEV
The S. Fyodorov Eye Microsurgery Federal State Institution, 59a Beskoudnikovsky blvd., Moscow, Russian Federation, 127486
Pashtaev A.N. ― Cand. Med. Sc., Junior Researcher of the Department of Transplantation and Opto-Reconstructive Surgery of anterior segment of the eyeball, tel. +7-926-467-65-04, e-mail: PashtaevMD@gmail.com
Kuzmichev K.N. ― resident doctor, tel. +7-910-916-07-59, e-mail: kuzmichevmd@gmail.com
The results are presented of ultrathin Descemet’s stripping automated endothelial keratoplasty (UT-DSAEK) in the clinical case of a patient with advanced stage of endothelial-epithelial dystrophy (EED) of the cornea. The case also demonstrates the opportunities of optical coherence tomography (OCT) for determining the surgical tactics between endothelial or penetrating techniques of cornea transplantation. The obtained data indicate the high efficiency of UT-DSAEK. The opportunities of OCT as a method of visualization of the structures of anterior eye segment allow to recommend it as a selection bias for determining the surgical tactics for all patients with EED of the cornea.
Key words: endothelial-epithelial dystrophy of the cornea, optical coherence tomography (OCT), Descemet’s stripping automated endothelial keratoplasty, ultrathin graft.
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