Descemet Membrane Endothelial Keratoplasty - Complication and management of a single case for tissue preparation and graft size linked to post-op descemetorhexis disparity
To report the management of an intraoperative complication during large (9.5 mm) ultra-thin Descemet Stripping Automated Endothelial Keratoplasty (UT-DSAEK) surgery in a patient with a large area of dysfunctional endothelium. A single case study of an 89 y/o male with a history of Fuchs corneal endo...
Saved in:
| Published in: | American journal of ophthalmology case reports Vol. 12; pp. 65 - 67 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Elsevier Inc
01.12.2018
Elsevier |
| Subjects: | |
| ISSN: | 2451-9936, 2451-9936 |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | To report the management of an intraoperative complication during large (9.5 mm) ultra-thin Descemet Stripping Automated Endothelial Keratoplasty (UT-DSAEK) surgery in a patient with a large area of dysfunctional endothelium.
A single case study of an 89 y/o male with a history of Fuchs corneal endothelial dystrophy is presented. The patient was listed for a large UT-DSAEK, but due to an intraoperative complication during graft preparation, an 8.00 mm Descemet membrane endothelial keratoplasty (DMEK) was prepared from the same graft using a standardized SCUBA technique and delivered. Early postoperative examination of the graft showed decentred, residual corneal oedema in the absence of DM detachment and a well-formed anterior chamber. The endothelial graft was found attached after 3 months and the corneal oedema was cleared. After 5 months, the patient's BSCVA was recorded at 6/6(20/20) in the left eye, but complained of mild discomfort. A circular ring of corneal oedema was observed around the graft and decentralization of the transplanted graft was observed. Endothelial cell density (ECD) of the central cornea at 5th month was 1506 cells/mm2 at a focal depth of 496 μm with some polymegathism.
and importance: It is possible to prepare DMEK starting from a failed DSAEK graft. Thickness map on corneal tomography could be a useful tool after DMEK for checking graft centration, function, and corneal recovery indirectly. It is recommended to only maintain a small distance between the descemetorhexis area and the size of the endothelial graft. |
|---|---|
| AbstractList | To report the management of an intraoperative complication during large (9.5 mm) ultra-thin Descemet Stripping Automated Endothelial Keratoplasty (UT-DSAEK) surgery in a patient with a large area of dysfunctional endothelium.
A single case study of an 89 y/o male with a history of Fuchs corneal endothelial dystrophy is presented. The patient was listed for a large UT-DSAEK, but due to an intraoperative complication during graft preparation, an 8.00 mm Descemet membrane endothelial keratoplasty (DMEK) was prepared from the same graft using a standardized SCUBA technique and delivered. Early postoperative examination of the graft showed decentred, residual corneal oedema in the absence of DM detachment and a well-formed anterior chamber. The endothelial graft was found attached after 3 months and the corneal oedema was cleared. After 5 months, the patient's BSCVA was recorded at 6/6(20/20) in the left eye, but complained of mild discomfort. A circular ring of corneal oedema was observed around the graft and decentralization of the transplanted graft was observed. Endothelial cell density (ECD) of the central cornea at 5th month was 1506 cells/mm2 at a focal depth of 496 μm with some polymegathism.
and importance: It is possible to prepare DMEK starting from a failed DSAEK graft. Thickness map on corneal tomography could be a useful tool after DMEK for checking graft centration, function, and corneal recovery indirectly. It is recommended to only maintain a small distance between the descemetorhexis area and the size of the endothelial graft. To report the management of an intraoperative complication during large (9.5 mm) ultra-thin Descemet Stripping Automated Endothelial Keratoplasty (UT-DSAEK) surgery in a patient with a large area of dysfunctional endothelium. A single case study of an 89 y/o male with a history of Fuchs corneal endothelial dystrophy is presented. The patient was listed for a large UT-DSAEK, but due to an intraoperative complication during graft preparation, an 8.00 mm Descemet membrane endothelial keratoplasty (DMEK) was prepared from the same graft using a standardized SCUBA technique and delivered. Early postoperative examination of the graft showed decentred, residual corneal oedema in the absence of DM detachment and a well-formed anterior chamber. The endothelial graft was found attached after 3 months and the corneal oedema was cleared. After 5 months, the patient's BSCVA was recorded at 6/6(20/20) in the left eye, but complained of mild discomfort. A circular ring of corneal oedema was observed around the graft and decentralization of the transplanted graft was observed. Endothelial cell density (ECD) of the central cornea at 5th month was 1506 cells/mm at a focal depth of 496 μm with some polymegathism. : It is possible to prepare DMEK starting from a failed DSAEK graft. Thickness map on corneal tomography could be a useful tool after DMEK for checking graft centration, function, and corneal recovery indirectly. It is recommended to only maintain a small distance between the descemetorhexis area and the size of the endothelial graft. To report the management of an intraoperative complication during large (9.5 mm) ultra-thin Descemet Stripping Automated Endothelial Keratoplasty (UT-DSAEK) surgery in a patient with a large area of dysfunctional endothelium.PURPOSETo report the management of an intraoperative complication during large (9.5 mm) ultra-thin Descemet Stripping Automated Endothelial Keratoplasty (UT-DSAEK) surgery in a patient with a large area of dysfunctional endothelium.A single case study of an 89 y/o male with a history of Fuchs corneal endothelial dystrophy is presented. The patient was listed for a large UT-DSAEK, but due to an intraoperative complication during graft preparation, an 8.00 mm Descemet membrane endothelial keratoplasty (DMEK) was prepared from the same graft using a standardized SCUBA technique and delivered. Early postoperative examination of the graft showed decentred, residual corneal oedema in the absence of DM detachment and a well-formed anterior chamber. The endothelial graft was found attached after 3 months and the corneal oedema was cleared. After 5 months, the patient's BSCVA was recorded at 6/6(20/20) in the left eye, but complained of mild discomfort. A circular ring of corneal oedema was observed around the graft and decentralization of the transplanted graft was observed. Endothelial cell density (ECD) of the central cornea at 5th month was 1506 cells/mm2 at a focal depth of 496 μm with some polymegathism.OBSERVATIONSA single case study of an 89 y/o male with a history of Fuchs corneal endothelial dystrophy is presented. The patient was listed for a large UT-DSAEK, but due to an intraoperative complication during graft preparation, an 8.00 mm Descemet membrane endothelial keratoplasty (DMEK) was prepared from the same graft using a standardized SCUBA technique and delivered. Early postoperative examination of the graft showed decentred, residual corneal oedema in the absence of DM detachment and a well-formed anterior chamber. The endothelial graft was found attached after 3 months and the corneal oedema was cleared. After 5 months, the patient's BSCVA was recorded at 6/6(20/20) in the left eye, but complained of mild discomfort. A circular ring of corneal oedema was observed around the graft and decentralization of the transplanted graft was observed. Endothelial cell density (ECD) of the central cornea at 5th month was 1506 cells/mm2 at a focal depth of 496 μm with some polymegathism.and importance: It is possible to prepare DMEK starting from a failed DSAEK graft. Thickness map on corneal tomography could be a useful tool after DMEK for checking graft centration, function, and corneal recovery indirectly. It is recommended to only maintain a small distance between the descemetorhexis area and the size of the endothelial graft.CONCLUSIONSand importance: It is possible to prepare DMEK starting from a failed DSAEK graft. Thickness map on corneal tomography could be a useful tool after DMEK for checking graft centration, function, and corneal recovery indirectly. It is recommended to only maintain a small distance between the descemetorhexis area and the size of the endothelial graft. Purpose: To report the management of an intraoperative complication during large (9.5 mm) ultra-thin Descemet Stripping Automated Endothelial Keratoplasty (UT-DSAEK) surgery in a patient with a large area of dysfunctional endothelium. Observations: A single case study of an 89 y/o male with a history of Fuchs corneal endothelial dystrophy is presented. The patient was listed for a large UT-DSAEK, but due to an intraoperative complication during graft preparation, an 8.00 mm Descemet membrane endothelial keratoplasty (DMEK) was prepared from the same graft using a standardized SCUBA technique and delivered. Early postoperative examination of the graft showed decentred, residual corneal oedema in the absence of DM detachment and a well-formed anterior chamber. The endothelial graft was found attached after 3 months and the corneal oedema was cleared. After 5 months, the patient's BSCVA was recorded at 6/6(20/20) in the left eye, but complained of mild discomfort. A circular ring of corneal oedema was observed around the graft and decentralization of the transplanted graft was observed. Endothelial cell density (ECD) of the central cornea at 5th month was 1506 cells/mm2 at a focal depth of 496 μm with some polymegathism. Conclusions: and importance: It is possible to prepare DMEK starting from a failed DSAEK graft. Thickness map on corneal tomography could be a useful tool after DMEK for checking graft centration, function, and corneal recovery indirectly. It is recommended to only maintain a small distance between the descemetorhexis area and the size of the endothelial graft. Keywords: Endothelial keratoplasty, DMEK |
| Author | Parekh, Mohit Kaye, Abigail Steger, Bernhard Kaye, Stephen B. Romano, Vito Ruzza, Alessandro |
| AuthorAffiliation | b International Center for Ocular Physiopathology, The Veneto Eye Bank Foundation, Venice, Italy d Department of Ophthalmology, Medical University of Innsbruck, Innsbruck, Austria a UCL Institute of Ophthalmology, London, United Kingdom e Department of Eye and Vision Science, University of Liverpool, Liverpool, United Kingdom c Department of Ophthalmology, St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom |
| AuthorAffiliation_xml | – name: b International Center for Ocular Physiopathology, The Veneto Eye Bank Foundation, Venice, Italy – name: c Department of Ophthalmology, St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom – name: d Department of Ophthalmology, Medical University of Innsbruck, Innsbruck, Austria – name: e Department of Eye and Vision Science, University of Liverpool, Liverpool, United Kingdom – name: a UCL Institute of Ophthalmology, London, United Kingdom |
| Author_xml | – sequence: 1 givenname: Mohit surname: Parekh fullname: Parekh, Mohit organization: UCL Institute of Ophthalmology, London, United Kingdom – sequence: 2 givenname: Alessandro surname: Ruzza fullname: Ruzza, Alessandro organization: International Center for Ocular Physiopathology, The Veneto Eye Bank Foundation, Venice, Italy – sequence: 3 givenname: Abigail surname: Kaye fullname: Kaye, Abigail organization: Department of Ophthalmology, St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom – sequence: 4 givenname: Bernhard surname: Steger fullname: Steger, Bernhard organization: Department of Ophthalmology, Medical University of Innsbruck, Innsbruck, Austria – sequence: 5 givenname: Stephen B. surname: Kaye fullname: Kaye, Stephen B. organization: Department of Ophthalmology, St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom – sequence: 6 givenname: Vito orcidid: 0000-0002-5148-7643 surname: Romano fullname: Romano, Vito email: vito.romano@gmail.com organization: Department of Ophthalmology, St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30246164$$D View this record in MEDLINE/PubMed |
| BookMark | eNp9ksFu1DAURSNUREvpD7BAXrLJYDt2JmGBhKYFKorYwNp6sV9mPHXiYHsqhl_iJ_F0htKy6MqWfc-19e59XhyNfsSieMnojFFWv1nPYO31jFPWzGg7o7R6UpxwIVnZtlV9dG9_XJzFuKY0U5IxVj8rjivKRc1qcVL8PseoccBEvuDQBRiRXIzGpxU6C458xgDJTw5i2pKSLPwwOashWT8SGA0ZYIRlxsdEfE-ARDsuHRINEUnvA0k2xg2SKeAE4R-2DNCnLP6FxNnxGg1Jnkw-ptJPxBx-5MMKf9pIjI0Ztmn7onjag4t4dlhPi-8fLr4tPpVXXz9eLt5flVpUoiplV5m6R264rDjT0jBjQPQ91xpR9qKCjnOotOZNz5o5ygZoa6iUcyklQFWdFpd7X-NhraZgBwhb5cGq2wMflgpCstqhahtDedfRHIkUgoqWt6LRtBVzbWDOmuz1bu81bboBjc6TCuAemD68Ge1KLf2NqpmoZT3PBq8PBsH_2GBMarB5Ps7lqPwmKp4jnYu6EXWWvrr_1t0jf9POAr4X6OBjDNjfSRhVu1aptdq1Su1apWircqsy1PwHaZtuo8z_te5x9O0exZzWjcWgdI4798dd4zYP0z4G_wF8b-ri |
| CitedBy_id | crossref_primary_10_1097_ICO_0000000000003745 crossref_primary_10_1097_ICO_0000000000002539 crossref_primary_10_1007_s10237_019_01156_y crossref_primary_10_1097_ICO_0000000000002838 crossref_primary_10_1097_ICO_0000000000002938 crossref_primary_10_1186_s12913_021_06828_z crossref_primary_10_1097_ICO_0000000000002411 crossref_primary_10_1097_j_jcrs_0000000000000196 |
| Cites_doi | 10.1097/ICO.0b013e31820d86bd 10.1097/01.ico.0000214224.90743.01 10.1097/01.ico.0000243962.60392.4f 10.1097/ICO.0000000000001019 10.1097/ICO.0000000000000451 10.1016/j.jcrs.2016.12.009 10.1016/j.jcrs.2005.12.078 10.1097/01.ico.0001169600.69493.55 10.1136/bjophthalmol-2014-305648 10.1111/aos.13162 |
| ContentType | Journal Article |
| Copyright | 2018 The Authors 2018 The Authors 2018 |
| Copyright_xml | – notice: 2018 The Authors – notice: 2018 The Authors 2018 |
| DBID | AAYXX CITATION NPM 7X8 5PM DOA |
| DOI | 10.1016/j.ajoc.2018.09.003 |
| DatabaseName | CrossRef PubMed MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef PubMed MEDLINE - Academic |
| DatabaseTitleList | PubMed MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: DOA name: Open Access: DOAJ - Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 2451-9936 |
| EndPage | 67 |
| ExternalDocumentID | oai_doaj_org_article_98d02bb01015440492948c0947cda718 PMC6146567 30246164 10_1016_j_ajoc_2018_09_003 S2451993618301609 |
| Genre | Case Reports |
| GroupedDBID | .1- .FO 0R~ 1P~ AAEDW AALRI AAXUO AAYWO ABMAC ACGFS ACVFH ADBBV ADCNI ADVLN AEUPX AEVXI AEXQZ AFJKZ AFPUW AFRHN AFTJW AIGII AITUG AJUYK AKBMS AKRWK AKYEP ALMA_UNASSIGNED_HOLDINGS AMRAJ AOIJS APXCP BCNDV EBS EJD FDB GROUPED_DOAJ HYE KQ8 M41 O9- OF- OK1 OQ~ ROL RPM SSZ Z5R AAYXX CITATION AACTN NPM 7X8 5PM |
| ID | FETCH-LOGICAL-c4343-5b3d6fe2d25321c5d1dda4ff2ccee5f43ab22a3cc28f187e58a09d0557555aa33 |
| IEDL.DBID | DOA |
| ISSN | 2451-9936 |
| IngestDate | Fri Oct 03 12:51:04 EDT 2025 Tue Nov 04 01:57:13 EST 2025 Wed Oct 01 10:42:12 EDT 2025 Thu Apr 03 07:07:18 EDT 2025 Wed Nov 12 18:37:26 EST 2025 Tue Nov 18 21:05:50 EST 2025 Tue Aug 26 16:33:06 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Keywords | Endothelial keratoplasty DMEK |
| Language | English |
| License | This is an open access article under the CC BY license. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c4343-5b3d6fe2d25321c5d1dda4ff2ccee5f43ab22a3cc28f187e58a09d0557555aa33 |
| Notes | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
| ORCID | 0000-0002-5148-7643 |
| OpenAccessLink | https://doaj.org/article/98d02bb01015440492948c0947cda718 |
| PMID | 30246164 |
| PQID | 2111746846 |
| PQPubID | 23479 |
| PageCount | 3 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_98d02bb01015440492948c0947cda718 pubmedcentral_primary_oai_pubmedcentral_nih_gov_6146567 proquest_miscellaneous_2111746846 pubmed_primary_30246164 crossref_primary_10_1016_j_ajoc_2018_09_003 crossref_citationtrail_10_1016_j_ajoc_2018_09_003 elsevier_clinicalkey_doi_10_1016_j_ajoc_2018_09_003 |
| PublicationCentury | 2000 |
| PublicationDate | 2018-12-01 |
| PublicationDateYYYYMMDD | 2018-12-01 |
| PublicationDate_xml | – month: 12 year: 2018 text: 2018-12-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | American journal of ophthalmology case reports |
| PublicationTitleAlternate | Am J Ophthalmol Case Rep |
| PublicationYear | 2018 |
| Publisher | Elsevier Inc Elsevier |
| Publisher_xml | – name: Elsevier Inc – name: Elsevier |
| References | Romano, Tey, Hill (bib8) 2015; 99 Lavy, Verdijk, Bruinsma (bib9) 2017; 36 Gorovoy (bib1) 2006; 25 Melles (bib4) 2006; 25 Romano, Steger, Chen (bib5) 2015; 34 Moutsouris, Dapena, Ham, Balachandran, Oellerich, Melles (bib7) 2011; 30 Melles, Ong, Ververs, van der Wees (bib3) 2006; 25 Price, Price (bib2) 2006; 32 Parekh, Ruzza, Ferrari (bib10) 2017; 95 Romano, Steger, Myneni, Batterbury, Willoughby, Kaye (bib6) 2017; 43 Melles (10.1016/j.ajoc.2018.09.003_bib3) 2006; 25 Romano (10.1016/j.ajoc.2018.09.003_bib5) 2015; 34 Romano (10.1016/j.ajoc.2018.09.003_bib8) 2015; 99 Lavy (10.1016/j.ajoc.2018.09.003_bib9) 2017; 36 Romano (10.1016/j.ajoc.2018.09.003_bib6) 2017; 43 Gorovoy (10.1016/j.ajoc.2018.09.003_bib1) 2006; 25 Price (10.1016/j.ajoc.2018.09.003_bib2) 2006; 32 Melles (10.1016/j.ajoc.2018.09.003_bib4) 2006; 25 Parekh (10.1016/j.ajoc.2018.09.003_bib10) 2017; 95 Moutsouris (10.1016/j.ajoc.2018.09.003_bib7) 2011; 30 |
| References_xml | – volume: 25 start-page: 879 year: 2006 end-page: 881 ident: bib4 article-title: Posterior lamellar keratoplasty: DLEK to DSEK to DMEK publication-title: Cornea – volume: 25 start-page: 987 year: 2006 end-page: 990 ident: bib3 article-title: Descemet membrane endothelial keratoplasty (DMEK) publication-title: Cornea – volume: 34 start-page: 866 year: 2015 end-page: 869 ident: bib5 article-title: Reliability of the effect of artificial anterior chamber pressure and corneal drying on corneal graft thickness publication-title: Cornea – volume: 43 start-page: 12 year: 2017 end-page: 15 ident: bib6 article-title: Preparation of ultrathin grafts for Descemet-stripping endothelial keratoplasty with a single microkeratome pass publication-title: J Cataract Refract Surg – volume: 95 start-page: 194 year: 2017 end-page: 198 ident: bib10 article-title: Endothelium-in versus endothelium-out for Descemet membrane endothelial keratoplasty graft preparation and implantation publication-title: Acta Ophthalmol – volume: 36 start-page: 11 year: 2017 end-page: 16 ident: bib9 article-title: Sex chromosome analysis of postmortem corneal endothelium after sex-mismatch Descemet membrane endothelial keratoplasty publication-title: Cornea – volume: 30 start-page: 1369 year: 2011 end-page: 1375 ident: bib7 article-title: Optical coherence tomography, Scheimpflug imaging, and slit-lamp biomicroscopy in the early detection of graft detachment after Descemet membrane endothelial keratoplasty publication-title: Cornea – volume: 25 start-page: 886 year: 2006 end-page: 889 ident: bib1 article-title: Descemet-stripping automated endothelial keratoplasty publication-title: Cornea – volume: 32 start-page: 411 year: 2006 end-page: 418 ident: bib2 article-title: Descemet's stripping with endothelial keratoplasty in 200 eyes: early challenges and techniques to enhance donor adherence publication-title: J Cataract Refract Surg – volume: 99 start-page: 784 year: 2015 end-page: 788 ident: bib8 article-title: Influence of graft size on graft survival following Descemet stripping automated endothelial keratoplasty publication-title: Br J Ophthalmol – volume: 30 start-page: 1369 year: 2011 ident: 10.1016/j.ajoc.2018.09.003_bib7 article-title: Optical coherence tomography, Scheimpflug imaging, and slit-lamp biomicroscopy in the early detection of graft detachment after Descemet membrane endothelial keratoplasty publication-title: Cornea doi: 10.1097/ICO.0b013e31820d86bd – volume: 25 start-page: 886 year: 2006 ident: 10.1016/j.ajoc.2018.09.003_bib1 article-title: Descemet-stripping automated endothelial keratoplasty publication-title: Cornea doi: 10.1097/01.ico.0000214224.90743.01 – volume: 25 start-page: 879 year: 2006 ident: 10.1016/j.ajoc.2018.09.003_bib4 article-title: Posterior lamellar keratoplasty: DLEK to DSEK to DMEK publication-title: Cornea doi: 10.1097/01.ico.0000243962.60392.4f – volume: 36 start-page: 11 year: 2017 ident: 10.1016/j.ajoc.2018.09.003_bib9 article-title: Sex chromosome analysis of postmortem corneal endothelium after sex-mismatch Descemet membrane endothelial keratoplasty publication-title: Cornea doi: 10.1097/ICO.0000000000001019 – volume: 34 start-page: 866 year: 2015 ident: 10.1016/j.ajoc.2018.09.003_bib5 article-title: Reliability of the effect of artificial anterior chamber pressure and corneal drying on corneal graft thickness publication-title: Cornea doi: 10.1097/ICO.0000000000000451 – volume: 43 start-page: 12 year: 2017 ident: 10.1016/j.ajoc.2018.09.003_bib6 article-title: Preparation of ultrathin grafts for Descemet-stripping endothelial keratoplasty with a single microkeratome pass publication-title: J Cataract Refract Surg doi: 10.1016/j.jcrs.2016.12.009 – volume: 32 start-page: 411 year: 2006 ident: 10.1016/j.ajoc.2018.09.003_bib2 article-title: Descemet's stripping with endothelial keratoplasty in 200 eyes: early challenges and techniques to enhance donor adherence publication-title: J Cataract Refract Surg doi: 10.1016/j.jcrs.2005.12.078 – volume: 25 start-page: 987 year: 2006 ident: 10.1016/j.ajoc.2018.09.003_bib3 article-title: Descemet membrane endothelial keratoplasty (DMEK) publication-title: Cornea doi: 10.1097/01.ico.0001169600.69493.55 – volume: 99 start-page: 784 year: 2015 ident: 10.1016/j.ajoc.2018.09.003_bib8 article-title: Influence of graft size on graft survival following Descemet stripping automated endothelial keratoplasty publication-title: Br J Ophthalmol doi: 10.1136/bjophthalmol-2014-305648 – volume: 95 start-page: 194 year: 2017 ident: 10.1016/j.ajoc.2018.09.003_bib10 article-title: Endothelium-in versus endothelium-out for Descemet membrane endothelial keratoplasty graft preparation and implantation publication-title: Acta Ophthalmol doi: 10.1111/aos.13162 |
| SSID | ssj0001651116 |
| Score | 2.1192517 |
| Snippet | To report the management of an intraoperative complication during large (9.5 mm) ultra-thin Descemet Stripping Automated Endothelial Keratoplasty (UT-DSAEK)... Purpose: To report the management of an intraoperative complication during large (9.5 mm) ultra-thin Descemet Stripping Automated Endothelial Keratoplasty... |
| SourceID | doaj pubmedcentral proquest pubmed crossref elsevier |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 65 |
| SubjectTerms | Case report DMEK Endothelial keratoplasty |
| Title | Descemet Membrane Endothelial Keratoplasty - Complication and management of a single case for tissue preparation and graft size linked to post-op descemetorhexis disparity |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S2451993618301609 https://www.ncbi.nlm.nih.gov/pubmed/30246164 https://www.proquest.com/docview/2111746846 https://pubmed.ncbi.nlm.nih.gov/PMC6146567 https://doaj.org/article/98d02bb01015440492948c0947cda718 |
| Volume | 12 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVAON databaseName: Open Access: DOAJ - Directory of Open Access Journals customDbUrl: eissn: 2451-9936 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0001651116 issn: 2451-9936 databaseCode: DOA dateStart: 20160101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELag4sAFgXilQDVI3FBEYseJc4TSCglRcQBpb5bjB91qN4myKVL5S_2Tnclj2QWpXLgmdpLJfPbM2ONvGHuTZl54GXhsnariTNg0Vnko4io4mXtpMm7DUGyiODtTi0X5dafUF-WEjfTA4497VyqX8KoiKjRJXHZozjNlMSgprDM4sdLsmxTlTjA1rK7k6EgMdU95RnXkS9qjPPyd3GUuGuIvTNVAcjpXzJqs0kDev2ec_nY-_8yh3DFKpw_Zg8mbhPejFI_YHV8_ZtcfiaJp7Xv44tcYDNceTmpHJ61WCDb4TDTKTYtec38FMRzv5JSDqR2stwkx0AQwQIsJKw8WzR2ghwv9oCpoOz_Shk_dfnQm9Nj4lwfaFPYO-gbaZtPHTQtu-qKmOyfqTXDLDVU_7K-esO-nJ9-OP8VTTYbY0hnUWFbC5cFzx6XgqZUudc5kIXCL1laGTJiKcyOs5SqkqvBSmaR0RPQlpTRGiKfsoG5q_5xB5ZMkZIlNuKsyH0KZq7wSpTBSBuxuIpbOOtF2IiynuhkrPWemXWjSoyY96qQkmtOIvd32aUe6jltbfyBVb1sS1fZwAQGoJwDqfwEwYmIGip5Ps-L8iw9a3vrq1zOmNA5o2qVBODSXG40ROUaJOfqFEXs2Ymz7gSIh-r88i1ixh749Cfbv1MvzgTQc3TB03YvD_yHyC3afRBmzel6yg7679K_YPfsTEdgdsbvFQh0N4_EGaTo6uw |
| linkProvider | Directory of Open Access Journals |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Descemet+Membrane+Endothelial+Keratoplasty+-+Complication+and+management+of+a+single+case+for+tissue+preparation+and+graft+size+linked+to+post-op+descemetorhexis+disparity&rft.jtitle=American+journal+of+ophthalmology+case+reports&rft.au=Mohit+Parekh&rft.au=Alessandro+Ruzza&rft.au=Abigail+Kaye&rft.au=Bernhard+Steger&rft.date=2018-12-01&rft.pub=Elsevier&rft.issn=2451-9936&rft.eissn=2451-9936&rft.volume=12&rft.spage=65&rft.epage=67&rft_id=info:doi/10.1016%2Fj.ajoc.2018.09.003&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_98d02bb01015440492948c0947cda718 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2451-9936&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2451-9936&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2451-9936&client=summon |