| Manual Preparation of Donor Lenticule Using Artificial Anterior Chamber for Descemet's Membrane Stripping Endothelial Keratoplasty. |
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Gye Jung Kim, Min Chul Shin, Ho Sik Hwang |
1Department of Ophthalmology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.
2Department of Ophthalmology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Koea, Seoul, Korea. huanghs@hanmail.net |
| 인공전방을 이용한 데스메막박리 각막내피층판이식술용 수기 공여각막편의 제작 |
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김계중1 · 신민철1 · 황호식2 |
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한림대학교 의과대학 춘천성심병원 안과학교실1, 가톨릭대학교 의과대학 여의도성모병원 안과학교실2 |
Correspondence:
Ho Sik Hwang,
Email: huanghs@hanmail.net
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Received: 25 October 2019 • Revised: 29 October 2019 • Accepted: 22 January 2020 |
| Abstract |
PURPOSE
To report a patient with a pseudophakic bullous keratopathy (PBK) who underwent Descemet's membrane stripping endothelial keratoplasty (DSEK) with manual preparation of the donor corneal graft. CASE SUMMARY: A 61-year-old female presented with visual disturbance in her right eye. Five months prior, she was treated with phacoemulsification and intraocular lens exchange surgery of the right eye, and a very severe corneal edema was revealed by slit-lamp examination. We diagnosed PBK and planned DSEK with manual preparation of a donor corneal graft because of the non-availability of a microkeratome or a femtosecond laser. After making the corneal graft using an artificial anterior chamber, crescent knife and cornea dissector, the keratoplasty proceeded using the graft. Three months after surgery, her graft was well-maintained on the right eye. The patient's visual acuity was 0.3, and the corneal endothelial cell count was 1,844/mm². CONCLUSIONS: Manual preparation of the donor corneal graft for DSEK is suitable as a second choice treatment method when the availability of surgical devices is limited. |
| Key Words:
Descemet's membrane stripping endothelial keratoplasty;Keratoplasty;Pseudophakic bullous keratopathy |
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