PMID- 20450668
OWN - NLM
STAT- MEDLINE
DCOM- 20101110
LR  - 20191210
IS  - 0412-4081 (Print)
IS  - 0412-4081 (Linking)
VI  - 46
IP  - 3
DP  - 2010 Mar
TI  - [Effect of temporary anchor sutures on Descemet stripping endothelial 
      keratoplasty in aphakic eyes].
PG  - 233-7
AB  - OBJECTIVE: To investigate the feasibility, efficacy, and complications of the 
      temporary anchor sutures for endothelial graft fixation in Descemet stripping 
      endothelial keratoplasty (DSEK) in aphakic eyes. METHODS: Non-randomized 
      retrospective case series. Twelve consecutive cases (12 eyes) with aphakic 
      bullous keratopathy underwent DSEK using the temporary anchor sutures technique 
      for fixation of donor button in Zhongshan Ophthalmic Center between April to 
      December in 2007. All cases were resulted from lens extraction and best 
      spectacle-corrected visual acuity (BSCVA) was inferior or equal to 0.04. Eight 
      cases were with preoperative pain. Prospective data of BSCVA, corneal 
      astigmatism, curvature and thickness were collected on all 12 eyes preoperatively 
      and at 3, 6 and 12 months postoperatively. Average endothelial cell density (ECD) 
      and endothelial cell loss (ECL) were recorded at 6 and 12 months postoperatively. 
      The follow-up period was 12 to 20 months. RESULTS: All cases were performed DSEK 
      successfully using the temporary anchor sutures and the grafts were well-attached 
      without dislocation. On postoperative day 1, papillary block glaucoma occurred in 
      2 eyes and mannitol 20% was administered intravenously. The intraocular pressure 
      in the 2 eyes returned to normal due to the air bubble absorption on 
      postoperative day 2. The endothelial grafts showed mild to moderate edema in all 
      eyes and became clear in 8 to 15 days postoperatively. All the corneas were clear 
      during follow-up. In 12 months postoperatively, BSCVA was 0.7 in 16.7% of eyes (n 
      = 2), 0.5 in 25.0% of eyes (n = 3), 0.4 in 33.3% of eyes (n = 4), and 0.3 in 
      25.0% of eyes (n = 3); mean corneal astigmatism was (2.40 + or - 0.70) diopters, 
      mean corneal curvature was (45.40 + or - 1.50) diopters, and mean corneal 
      thickness was (591.5 + or - 20.4) microm. Mean endothelial cell density (ECD) was 
      (2088 + or - 146) cells/mm(2) [(28.9 + or - 3.9)% endothelial cell loss] and 
      (1857 + or - 101) cells/mm(2) [(36.7 + or - 3.1)% endothelial cell loss] in 6 and 
      12 months postoperatively, respectively. CONCLUSION: The temporary anchor sutures 
      technique was easy to perform and effectively prevented graft dislocation and 
      detachment into the vitreous cavity.
FAU - Huang, Ting
AU  - Huang T
AD  - The State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun 
      Yat-sen University, Guangzhou 510060, China. thuang@vip.163.com
FAU - Wang, Yu-juan
AU  - Wang YJ
FAU - Luo, Yan
AU  - Luo Y
FAU - Huan, Di-na
AU  - Huan DN
FAU - Chen, Jia-qi
AU  - Chen JQ
LA  - chi
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - China
TA  - Zhonghua Yan Ke Za Zhi
JT  - [Zhonghua yan ke za zhi] Chinese journal of ophthalmology
JID - 16210540R
SB  - IM
MH  - Aged
MH  - Corneal Diseases/*surgery
MH  - Corneal Transplantation
MH  - Descemet Membrane/surgery
MH  - Descemet Stripping Endothelial Keratoplasty/*instrumentation/*methods
MH  - Endothelium, Corneal/*transplantation
MH  - Female
MH  - Graft Survival
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Suture Anchors
EDAT- 2010/05/11 06:00
MHDA- 2010/11/11 06:00
CRDT- 2010/05/11 06:00
PHST- 2010/05/11 06:00 [entrez]
PHST- 2010/05/11 06:00 [pubmed]
PHST- 2010/11/11 06:00 [medline]
PST - ppublish
SO  - Zhonghua Yan Ke Za Zhi. 2010 Mar;46(3):233-7.