دورية أكاديمية
A comparative study: deep anterior lamellar keratoplasty for corneal dystrophies using two different donor stromal tissues.
| العنوان: | A comparative study: deep anterior lamellar keratoplasty for corneal dystrophies using two different donor stromal tissues. |
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| المؤلفون: | Koçluk Y; Department of Ophthalmology, Adana Numune Training and Research Hospital, 06520, Yüreğir, Adana, Turkey. kocluk99@gmail.com., Sukgen EA; Department of Ophthalmology, Adana Numune Training and Research Hospital, 06520, Yüreğir, Adana, Turkey. |
| المصدر: | International ophthalmology [Int Ophthalmol] 2018 Oct; Vol. 38 (5), pp. 2133-2140. Date of Electronic Publication: 2017 Sep 22. |
| نوع المنشور: | Clinical Study; Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Kluwer Country of Publication: Netherlands NLM ID: 7904294 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2630 (Electronic) Linking ISSN: 01655701 NLM ISO Abbreviation: Int Ophthalmol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Dordrecht : Kluwer Original Publication: The Hague, Junk. |
| مواضيع طبية MeSH: | Tissue Donors*, Corneal Dystrophies, Hereditary/*surgery , Corneal Stroma/*transplantation , Descemet Stripping Endothelial Keratoplasty/*methods, Adult ; Aged ; Corneal Dystrophies, Hereditary/physiopathology ; Female ; Graft Survival ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Visual Acuity ; Young Adult |
| مستخلص: | Purpose: This study aimed to present a comparison of early postoperative results of deep anterior lamellar keratoplasty (DALK) surgery performed using the two different corneal graft sources. Materials and Methods: This retrospective clinical study included the surgery performed on 26 eyes of 26 patients who underwent DALK for the stromal dystrophies. At the time of surgery, donor stromal tissue for DALK was sourced using the two different preparatory techniques. For 14 cases (Group 1), the donor grafts were prepared quickly by removing the descemet's membrane (DM) without much care after the exposure of the bare DM in the recipient cornea. For 12 cases (Group 2), the grafts for DALK surgery had already been prepared during a previous descemet's membrane endothelial keratoplasty (DMEK). Results: The groups differed statistically regarding the blue staining of the grafts at the time of surgery and on the first day post-DALK. The first day after surgery, 14 (100%) grafts were clear in Group 1, while eight (66.7%) grafts were clear and four (33.3%) were edematous in Group 2 (p = 0.019). Bubbling was performed in three (25.0% of Group 2) of the four cases on the first day post-DALK, while none of the patients in Group 1 underwent this procedure (p = 0.47). The postoperative increase in visual acuity was higher in Group 1 in the early postoperative period (p = 0.012). Conclusion: During the early postoperative period, complications (as graft edema, detachment, re-bubbling) were observed more frequently in the DALK operations performed with stromal tissue having blue stain remaining from the DMEK performed on the same day and in the same session. |
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| فهرسة مساهمة: | Keywords: Deep anterior lamellar keratoplasty; Descemet’s membrane endothelial keratoplasty; Split keratoplasty; Stromal dystrophies; Trypan blue solution |
| تواريخ الأحداث: | Date Created: 20170924 Date Completed: 20180920 Latest Revision: 20181113 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1007/s10792-017-0714-0 |
| PMID: | 28940116 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1573-2630 |
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| DOI: | 10.1007/s10792-017-0714-0 |