title: Descemet stripping automated endothelial keratoplasty for microcornea.
abstract: OBJECTIVE
  Our aim was to evaluate the surgical technique and postoperative results of Descemet stripping automated endothelial keratoplasty (DSAEK) for bullous keratopathy in eyes with microcornea.
  
  
  METHODS
  Two patients with microcornea (8.8 mm in case 1 and 9.3 mm in case 2) and bullous keratopathy after cataract surgery or after laser iridotomy were treated by DSAEK. A donor lamella with a smaller diameter (7.5 mm) was inserted into the anterior chamber using the double-glide donor insertion technique (Busin glide with intraocular lens sheet glide).
  
  
  RESULTS
  No intraoperative or postoperative complications occurred. Corrected visual acuity improved from counting fingers to 0.222 logMAR in case 1 and from 1.000 to 0.155 logMAR in case 2 over 6 months. Corneal endothelial cell loss was 6.5 % in case 1 and 1.9 % in case 2.
  
  
  CONCLUSIONS
  DSAEK was useful for bullous keratopathy in patients with microcornea. However, surgery should be done with meticulous care, and modification of the diameter of the donor lamella and of the donor insertion technique may be required.
authors: Department of Ophthalmology, Juntendo University Shizuoka Hospital, 1129 Nagaoka, Izunokuni, Shizuoka 420-2295, Japan. toshida@juntendo.ac.jp
authors: Hiroshi
authors: H
authors: Toshida
authors: Toshihiko
authors: T
authors: Ohta
authors: Akira
authors: A
authors: Murakami
authors: Akira
authors: A
authors: Kobayashi
authors: Kazuhisa
authors: K
authors: Sugiyama
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000869:Anterior Eye Segment / Q000473:pathology; D003315:Cornea / Q000002:abnormalities*; D055954:Corneal Endothelial Cell Loss / Q000175:diagnosis / Q000601:surgery*; D057111:Descemet Stripping Endothelial Keratoplasty; D005124:Eye Abnormalities / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D018918:Phacoemulsification; D014019:Tissue Donors; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology