EXPORT CITATION

Chapter-15 Pre-Descemet’s Endothelial Keratoplasty in Failed Keratoplasties

BOOK TITLE: Pre-Descemet’s Endothelial Keratoplasty (PDEK)

Author
1. Agarwal Amar
2. Kumar Dhivya Ashok
ISBN
9789352703036
DOI
10.5005/jp/books/14154_16
Edition
1/e
Publishing Year
2018
Pages
7
Author Affiliations
1. Eye Research Centre and Dr. Agarwal’s Group of Eye Hospitals, Chennai, Bangalore, Trichy, Jaipur, Salem, Kerala, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Hospital, 9, Cathedral Road, C,hennai, India, Dr Agarwal’s Eye Institute, 13 Cathedral Road, Chennai, India, Dr. Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, India, 15 Eagle Street, Langford Town Bangalore, India, Villa No. 2, Roundhouse 3, Al Wasl Road, Dubai PB 9168, Dubai, Dr. Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, India, 15 Eagle Street, Langford Town Bangalore, India, Villa No. 2, Roundhouse 3, Al Wasl Road, Dubai PB, Dubai, Dr Agarwal’s Group of Eye Hospitals, and Eye Research Centre, Chennai, India., Dr. Agarwal’s group of eye hospitals at Chennai, Bangalore, Jaipur, Salem and Trichy, India, Dr. Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai-600086, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre 19,
2. Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India, Dr. Agarwal’s Eye Hospital and Eye Research Centre, Chennai, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Center, Chennai, Tamil Nadu, India
Chapter keywords
pre-Descemet’s endothelial keratoplasty, PDEK, trocar anterior chamber maintainer, TACM, Descemet’s membrane, failed keratoplasty, graft rejection, corrected distant visual acuity, CDVA

Abstract

The objective of this chapter is to share the outcomes of pre-Descemet’s endothelial keratoplasty (PDEK) on preexisting failed keratoplasties. Standard PDEK procedure has to be followed even in already failed graft patients. A 30 G needle attached to a 5 mL syringe was inserted from the limbus into the mid peripheral stroma. The air was slowly injected into the donor stroma until a type 1 big bubble was formed. Under peribulbar anesthesia, initially a trocar anterior chamber maintainer (TACM) was placed at the limbus. The Descemet’s membrane (DM) was scored all around. Main wound was closed with 10-0 monofilament nylon interrupted sutures and the previous graft host interface is rechecked for any leak. Demographics and observations, visual and clinical outcomes, and complications of PDEK in failed keratoplasties have been discussed briefly in this chapter.

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved