Hybrid Technique of Lamellar Keratoplasty (DMEK-S)
Joint Authors
Vokrojova, Magdalena
Studeny, Pavel
Liehneova, Katerina
Kuchynka, Pavel
Sivekova, Deli
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-06-05
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Purpose: To evaluate the outcomes of the hybrid technique of posterior lamellar keratoplasty (DMEK-S).
Materials and Methods: 71 eyes of 55 patients enrolled in a single-center study underwent posterior lamellar keratoplasty with a hybrid lamella DMEK-S implanted using a solution implantation technique, owing to endothelial dysfunction.
The outcome measures studied were visual acuity and endothelial cell density.
Results: The rate of endothelial cell loss caused by surgery was 43.8%.
During followups, we observed the stabilization of postoperative findings, or at minimum a very low rate of corneal endothelial cell loss.
The UCDVA and BCDVA dramatically improved postoperatively.
The rebubbling rate in our group of patients was 61.9%.
We replaced the lamella due to its failure or malfunction in 17 patients (23.9%).
Conclusion: In summary, DMEK-S combines the advantages of DSEK/DSAEK and DMEK.
The central zone of bare Descemet’s membrane and endothelium allows for very good visual outcomes, and the peripheral rim allows for better manipulation of the lamella during implantation.
It is an effective method of treating the endothelial dysfunction of various etiologies, but the high complication rate needs to be addressed before widespread implementation of the technique in the future.
American Psychological Association (APA)
Studeny, Pavel& Sivekova, Deli& Liehneova, Katerina& Vokrojova, Magdalena& Kuchynka, Pavel. 2013. Hybrid Technique of Lamellar Keratoplasty (DMEK-S). Journal of Ophthalmology،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-457759
Modern Language Association (MLA)
Studeny, Pavel…[et al.]. Hybrid Technique of Lamellar Keratoplasty (DMEK-S). Journal of Ophthalmology No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-457759
American Medical Association (AMA)
Studeny, Pavel& Sivekova, Deli& Liehneova, Katerina& Vokrojova, Magdalena& Kuchynka, Pavel. Hybrid Technique of Lamellar Keratoplasty (DMEK-S). Journal of Ophthalmology. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-457759
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-457759