Abstract | OBJECTIVE: To summarize intra and post operation complications and their treatment of Descemet's Stripping Automated Endothelium Keratoplasty (DSAEK), and provide our experience for its development in China. METHODS: RESULTS: Dislocation is the most common postoperative complications. Ten eyes underwent dislocation in 47 eyes (21.3%), which was solved by air and viscoelastic agent injection. High intraocular pressure happened in 12 eyes (25.5%), in 11 of which had a history of glaucoma and 1 with ICE. After drug treatment, ten patients had stable intraocular pressure and two patients underwent ciliary body photocoagulation surgery (1 case with anterior chamber intraocular lens, 1 case with ICE). Reactions happened in 2 cases (4.3%) patients, including 1 case with anterior chamber IOL (AC-IOL) rehabilitating after drug treatment and the other with Fuch's corneal endothelial dysfunction being regrafted. CONCLUSION: Dislocation is the most common complication after corneal endothelial keratoplasty, and air injection in anterior chamber is a common and effective method; High intraocular pressure is the second postoperative complication. Preoperative history of glaucoma is closely related to postoperative high intraocular pressure.
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Authors | Jing Hong, Rongmei Peng, Yansheng Hao, Hongqiang Qu |
Journal | [Zhonghua yan ke za zhi] Chinese journal of ophthalmology
(Zhonghua Yan Ke Za Zhi)
Vol. 50
Issue 4
Pg. 254-60
(Apr 2014)
ISSN: 0412-4081 [Print] China |
PMID | 24931150
(Publication Type: English Abstract, Journal Article)
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Topics |
- Cataract Extraction
- China
- Corneal Diseases
(surgery)
- Descemet Stripping Endothelial Keratoplasty
(adverse effects)
- Endothelium
- Fuchs' Endothelial Dystrophy
(surgery)
- Glaucoma
(complications)
- Humans
- Keratoplasty, Penetrating
- Lens Implantation, Intraocular
- Ocular Hypertension
(etiology)
- Phacoemulsification
- Postoperative Complications
(diagnosis, therapy)
- Retrospective Studies
- Visual Acuity
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