Surgical goniolens for tag identification and removal in DMEK surgery.
Eur J Ophthalmol
; 33(3): 1480-1483, 2023 May.
Article
em En
| MEDLINE
| ID: mdl-36576965
ABSTRACT
INTRODUCTION:
We describe a novel technique for identifying endothelial Descemet membrane (DM) tags remaining after descemetorhexis in patients undergoing Descemet membrane endothelial keratoplasty (DMEK) surgery.METHODS:
A surgical goniolens is applied to the corneal surface after descemetorhexis in order to visualize the peripheral inner corneal layer at 360° and identify endothelial-DM tags.RESULTS:
A detailed visualization of the peripheral inner corneal layer is possible using goniolens, without using any staining in the anterior chamber.CONCLUSION:
The technique may be used to screen the posterior corneal surface for any retained endothelial-DM tags. It may to lower the risk of remaining tags and indirectly lower the incidence of DMEK graft detachment.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Distrofia Endotelial de Fuchs
/
Doenças da Córnea
/
Ceratoplastia Endotelial com Remoção da Lâmina Limitante Posterior
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article