Use of an air-fluid exchange system to promote graft adhesion during Descemet's stripping automated endothelial keratoplasty.
Dislocation of the graft is a well-recognized complication of Descemet's stripping automated endothelial keratoplasty (DSAEK). We describe a technique to promote adhesion of the graft during DSAEK using an anterior chamber air-fluid infusion and exchange for direct control of the pressure and medium used to tamponade the graft against the host stroma.
Meisler
David M
DM
Cole Eye Institute (Meisler, Dupps), Cleveland Clinic, Cleveland, Ohio 44195, USA.
Dupps
William J
WJ
Covert
Douglas J
DJ
Koenig
Steven B
SB
D000085:Acetates; D000388:Air; D016039:Corneal Transplantation / Q000379:methods*; D003886:Descemet Membrane / Q000502:physiology / Q000601:surgery*; D004338:Drug Combinations; D004728:Endothelium, Corneal / Q000637:transplantation*; D006085:Graft Survival / Q000502:physiology*; D006801:Humans; D008903:Minerals; D012965:Sodium Chloride; D000267:Tissue Adhesions
D000085:Acetates; C030660:BSS solution; D004338:Drug Combinations; D008903:Minerals; D012965:Sodium Chloride