title: Descemet stripping automated endothelial keratoplasty with the EndoGlide Ultrathin graft insertion device.
abstract: Endothelial keratoplasty has largely replaced penetrating keratoplasty as the preferred technique to selectively replace diseased corneal endothelium. Descemet's stripping automated endothelial keratoplasty (DSAEK) is the most common type of endothelial keratoplasty performed worldwide. One of the challenges in DSAEK is the insertion of the donor lenticule into the eye using a method so as to minimize endothelial cell loss. Various techniques have been suggested such as forceps insertion and graft insertion devices. With the trend towards using thinner DSAEK tissue and Descemet membrane endothelial keratoplasty, there are increasing challenges in inserting and manipulating even more delicate tissue. The EndoGlide Ultrathin has several new features that will enable easier insertion of thinner DSAEK tissue. This paper presents the features and surgical technique of the EndoGlide Ultrathin during DSAEK.
authors.affiliation: Lions Eye Institute, 2 Verdun Street, Nedlands, Perth, 6009 Australia.
authors.forename: Andrea Y
authors.initials: AY
authors.lastname: Ang
authors.forename: Yu-Chi
authors.initials: YC
authors.lastname: Liu
authors.forename: Donald T
authors.initials: DT
authors.lastname: Tan
authors.forename: Jodhbir S
authors.initials: JS
authors.lastname: Mehta
mesh_terms: D003316:Corneal Diseases / Q000601:surgery*; D016039:Corneal Transplantation / Q000295:instrumentation*; D003886:Descemet Membrane / Q000601:surgery*; D057111:Descemet Stripping Endothelial Keratoplasty / Q000295:instrumentation*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D019317:Evidence-Based Medicine; D006801:Humans; D019919:Prosthesis Implantation / Q000295:instrumentation*; D012371:Robotics / Q000295:instrumentation*; D013673:Technology Assessment, Biomedical; D016896:Treatment Outcome
keywords: Descemet stripping automated endothelial keratoplasty; EndoGlide; endothelial keratoplasty; inserter; ultrathin