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- Title
Long-term outcomes of Descemet stripping automated endothelial keratoplasty for bullous keratopathy after argon laser iridotomy.
- Authors
Ye, Yunyan; Mori, Natsuko; Kobayashi, Akira; Yokogawa, Hideaki; Sugiyama, Kazuhisa
- Abstract
Purpose: To report the long-term outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) for bullous keratopathy secondary to argon laser iridotomy (BK-ALI). Study design: Retrospective chart review. Methods: Forty-five eyes from 41 consecutive patients with BK-ALI who underwent DSAEK from July 2007 to December 2013 were retrospectively analyzed. Best spectacle-corrected visual acuity (BCVA), endothelial cell density (ECD), and any complications were investigated over a 10-year postoperative period. Results: The mean BCVA improved from 0.80 logMAR before DSAEK to 0.28 logMAR at 6 months after DSAEK; the mean values showed an additional slight improvement between 6 months and 10 years after the surgery (P <.01). The mean ECD decreased from 2864 cells/mm2 at baseline to 2269 cells/mm2 (20.8% loss) at 6 months post-DSAEK, and this decreasing trend continued throughout the 10 years after DSAEK (P <.01). The mean ECD was 1148 cells/mm2 (59.9% loss) after 5 years, and 568 cells/mm2 (80.2% loss) after 10 years. No graft deaths were observed throughout the 10-year period (5-year follow-up rate 60.0%, 10-year follow-up rate 20.0%). Conclusions: The 10-year outcomes of DSAEK for BK-ALI were excellent with a high graft survival rate.
- Subjects
CORNEA surgery; ARGON; SURVIVAL rate; GRAFT survival; LASERS; DESCEMET stripping automated endothelial keratoplasty
- Publication
Japanese Journal of Ophthalmology, 2021, Vol 65, Issue 4, p454
- ISSN
0021-5155
- Publication type
Article
- DOI
10.1007/s10384-021-00832-w