Abstract
Objective: To evaluate early in vivo corneal wound healing findings after Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) by using in vivo confocal microscopy. Method: A total of 15 eyes of 15 patients were included. In vivo confocal microscopy (Confoscan 4, Fortune Technologies, Italy) was performed from 4 to 7 weeks after DSAEK. Measurements were scanned from the corneal endothelium to the corneal surface with a Navis® software (NIDEK, Multi-Instrument Diagnostic System, Japan). Results: Donor-receptor interface was found in an average of 114 ± 12.4 microns. Corneal stromal folds were observed from 111.1 ± 3.5 microns from the endothelium to 286 ± 94 microns (mean 175 ± 90.5 microns of the corneal stroma). Keratocites were activated in the donor tissue from 12 ± 1.4 microns from the endothelium to 105 ± 38.2 microns (mean 93 ± 36.9 microns of the corneal stroma). Conclusions: Donor keratocites are activated up to 7 weeks after DSAEK. Several corneal folds are present in proximity to the donor-receptor interface after DSAEK. Further evaluation of these findings is justified to determine its clinical significance.
| Translated title of the contribution | Confocal microscopy findings after endothelial transplant by DSAEK |
|---|---|
| Original language | Spanish |
| Pages (from-to) | 128-131 |
| Number of pages | 4 |
| Journal | Cirugia y Cirujanos |
| Volume | 86 |
| Issue number | 2 |
| DOIs | |
| State | Published - Mar 1 2018 |
| Externally published | Yes |
Keywords
- Confocal
- DSAEK
- Endothelial
- Interface
- Keratocyte
- Transplant
ASJC Scopus subject areas
- Surgery
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