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Published on: July 6, 2015
A technique to fixate dislocated lenticules in complicated Descemet stripping automated endothelial keratoplasty
Amir Faramarzi1, Shahin Yazdani
1Ophthalmic Research Center and Department of Ophthalmology, Labbafinejad Medical Center, Shahid Beheshti Medical University, Tehran - Iran.
Purpose:
To describe a technique to fixate a dislocated donor lenticule following complicated Descemet stripping automated endothelial keratoplasty (DSAEK) when lenticule attachment has not been successful following previous attempts employing air tamponade due to iris defects and posterior capsule ruptures.
Methods:
In this technique, we fixate the DSAEK lenticule at 2 points using partial-thickness sutures buried in the recipient corneal stroma.
Results:
Three complicated DSAEK cases were operated by this technique. The lenticules were totally attached and the corneas remained clear up to the last visit, 6 months after the last procedure.
Conclusions:
Our technique is easy to perform and efficient for fixation of detached lenticules and may also be performed primarily to prevent lenticule detachment in complicated DSAEK eyes.
