title: Clinical results of the Neusidl Corneal Inserter(®), a new donor inserter for Descemet's stripping automated endothelial keratoplasty, for small Asian eyes.
abstract: OBJECTIVE
  To present the clinical outcomes of the Neusidl Corneal Inserter (NCI) (Fischer Surgical, Imperial, MO), a new donor inserter for Descemet's stripping automated endothelial keratoplasty (DSAEK).
  
  
  METHODS
  Six eyes of 6 Japanese patients (mean age = 74.0 years) with endothelial dysfunction were enrolled in this prospective, non-comparative study. All patients had a small cornea of 9.0 mm or less in diameter. A donor was inserted into the eye using NCI. Intraoperative and postoperative complications, postoperative donor endothelial cell densities (ECD), and best-corrected visual acuity (BCVA) were evaluated.
  
  
  RESULTS
  Donor loading onto NCI was successful in all cases. No intraoperative or postoperative complications were noted. All cases reached more than 20/63 BCVA within 12 months. Mean ECD was 2,441 cells/mm(2) (mean loss = 22.1%) at 6 months and 2,159 cells/mm(2) (mean loss = 31.0%) at 12 months.
  
  
  CONCLUSIONS
  Graft insertion with NCI is safe in DSAEK with low endothelial cell loss.
authors.affiliation: Department of Ophthalmology, Kanazawa University Graduate School of Medical Science, 13-1 Takaramachi, Kanazawa-shi, Ishikawa-ken, Japan. kobaya@kenroku.kanazawa-u.ac.jp
authors.forename: Akira
authors.initials: A
authors.lastname: Kobayashi
authors.forename: Hideaki
authors.initials: H
authors.lastname: Yokogawa
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Sugiyama
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000033:anatomy & histology* / Q000601:surgery; D044466:Asian People; D003316:Corneal Diseases / Q000601:surgery*; D055954:Corneal Endothelial Cell Loss / Q000517:prevention & control; D057111:Descemet Stripping Endothelial Keratoplasty / Q000295:instrumentation* / Q000379:methods; D004728:Endothelium, Corneal / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014019:Tissue Donors; D014792:Visual Acuity / Q000502:physiology