Menzel-Severing J, Kruse F, Tourtas T (2017)
Publication Type: Journal article
Publication year: 2017
Book Volume: 101
Pages Range: 1124-1127
Journal Issue: 8
DOI: 10.1136/bjophthalmol-2016-309550
To determine whether clinical performance is negatively affected by prestripping Descemet membrane endothelial keratoplasty (DMEK) grafts from organ-cultured corneas.We reviewed clinical records of all patients who underwent DMEK surgery for Fuchs endothelial dystrophy between 28 October 2014 and 11 August 2015. Grafts had been prepared from organ-cultured corneoscleral buttons 24 hours prior to surgery or during surgery. We included only patients for which at least one follow-up examination was available at a minimum of 2 months postoperatively.best-corrected visual acuity (BCVA), central corneal thickness, endothelial cell count and rebubbling rates.Data given are mean±SD. No statistically significant differences were recorded at baseline between the partially stripped group (n=65) and the control group (n=72) with regard to donor age (70±9 vs 69±8 years; p=0.49), donor cornea endothelial cell density (2586±604 vs 2522±186 cells/mm(2); p=0.6), BCVA (before DMEK: 0.77±0.5 vs 0.63±0.3 logMAR; p=0.27; before triple-DMEK: 0.56±0.2 vs 0.52±0.2 logMAR; p=0.33) or central corneal thickness (621±72 vs 607±53 ?m; p=0.49). Mean follow-up was 149±83 versus 148±77 days; p=0.79. No statistically significant differences were observed between the two groups postoperatively with regard to BCVA (after DMEK: 0.25±0.2 vs 0.21±0.2 logMAR; p=0.59; after triple-DMEK: 0.22±0.2 vs 0.2±0.1 logMAR; p=0.98), central corneal thickness (502±42 vs 508±41 ?m; p=0.47), endothelial cell count (1537±245 vs 1551±287 cells/mm(2); p=0.65) and number of graft detachments requiring rebubbling (4.6% vs 9.7%; p=0.33).We found no evidence that the use of prestripped DMEK grafts is inferior to same-day preparation in organ-cultured corneas within the given follow-up.
APA:
Menzel-Severing, J., Kruse, F., & Tourtas, T. (2017). Organ-cultured, prestripped donor tissue for DMEK surgery: clinical outcomes. British Journal of Ophthalmology, 101(8), 1124-1127. https://dx.doi.org/10.1136/bjophthalmol-2016-309550
MLA:
Menzel-Severing, Johannes, Friedrich Kruse, and Theofilos Tourtas. "Organ-cultured, prestripped donor tissue for DMEK surgery: clinical outcomes." British Journal of Ophthalmology 101.8 (2017): 1124-1127.
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