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Double-Bubble Technique Assisted by Holding Forceps: A Modified Technique in Descemet Membrane Endothelial Keratoplasty for Vitrectomized Eyes With Scleral Fixated Intraocular Lens.
- Source :
-
Cornea [Cornea] 2024 Jun 01; Vol. 43 (6), pp. 799-803. Date of Electronic Publication: 2024 Mar 12. - Publication Year :
- 2024
-
Abstract
- Purpose: Several techniques have been developed for graft unfolding approaches in Descemet membrane endothelial keratoplasty (DMEK). However, despite these techniques, graft deployment and configuration in eyes with deep anterior chambers remain challenging in some cases. Therefore, in this study, we described a modified technique for DMEK, known as the "double-bubble technique assisted by holding forceps."<br />Methods: This was a retrospective interventional case series. Patients who underwent DMEK between August 2022 and July 2023, including cases with a history of vitrectomy and scleral fixation of intraocular lens, were enrolled in this study. Two experienced surgeons performed DMEK. In brief, after graft insertion into the anterior chamber, the first bubble with a small volume of air was injected above the graft to open the tight roll, and the graft edge was held using a 25-gauge graft manipulator. The second bubble was injected underneath the graft for fixation, while the graft edge was grasped using forceps during gas injection. The graft was released from the forceps. Best spectacle corrected visual acuity, central corneal thickness, endothelial cell density, and incidence of postoperative complications were measured before and after DMEK.<br />Results: Eleven eyes of 11 patients were included in this study (mean follow-up period, 4.5 ± 4.4 months). Best spectacle corrected visual acuity and central corneal thickness significantly improved postoperatively ( P < 0.001). Rebubbling was required in 2 eyes; no other postoperative complications or primary graft failure were observed.<br />Conclusions: The present technique enables safe and feasible DMEK surgery in vitrectomized eyes with scleral fixated IOLs and in those with a deep anterior chamber.<br />Competing Interests: The authors have no funding or conflicts of interest to disclose.<br /> (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
- Subjects :
- Humans
Retrospective Studies
Female
Male
Aged
Middle Aged
Lenses, Intraocular
Aged, 80 and over
Endothelium, Corneal pathology
Corneal Diseases surgery
Follow-Up Studies
Postoperative Complications
Descemet Stripping Endothelial Keratoplasty methods
Vitrectomy methods
Sclera surgery
Visual Acuity physiology
Lens Implantation, Intraocular methods
Subjects
Details
- Language :
- English
- ISSN :
- 1536-4798
- Volume :
- 43
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Cornea
- Publication Type :
- Academic Journal
- Accession number :
- 38471007
- Full Text :
- https://doi.org/10.1097/ICO.0000000000003533