"Separate the Wheat from the Chaff" - Descemet's Stripping Endothelial Keratoplasty Graft Failure due to Accidental Implantation of Full-Thickness Precut Tissue.

IF 0.5 Q4 OPHTHALMOLOGY Middle East African Journal of Ophthalmology Pub Date : 2022-04-30 eCollection Date: 2021-10-01 DOI:10.4103/meajo.MEAJO_240_19
Arjun Srirampur, Tarannum Mansoori, Pasyanthi Balijepalli
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Abstract

We present an interesting case of failed Descemet's stripping endothelial keratoplasty (DSEK) graft, due to accidental implantation of a full-thickness precut tissue. A repeat DSEK was planned, and during the surgery along with the DSEK graft, an extra thick corneal tissue was also retrieved. Careful evaluation of both the explanted tissues revealed that the primary surgeon failed to separate a precut DSEK graft and implanted the entire full-thickness tissue. After the repeat DSEK, there was improvement in corneal edema and visual acuity.

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“去伪存真”- Descemet剥离内皮角膜移植术因意外植入全层预切组织而失败。
我们提出一个有趣的案例失败Descemet剥离内皮角膜移植术(DSEK),由于意外植入全层预切组织。计划重复DSEK,在DSEK移植物的手术中,也取出了额外的厚角膜组织。对两个移植组织的仔细评估显示,初级外科医生未能分离预切的DSEK移植物并植入整个全层组织。重复DSEK后,角膜水肿和视力均有改善。
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CiteScore
1.40
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1
期刊介绍: The Middle East African Journal of Ophthalmology (MEAJO), published four times per year in print and online, is an official journal of the Middle East African Council of Ophthalmology (MEACO). It is an international, peer-reviewed journal whose mission includes publication of original research of interest to ophthalmologists in the Middle East and Africa, and to provide readers with high quality educational review articles from world-renown experts. MEAJO, previously known as Middle East Journal of Ophthalmology (MEJO) was founded by Dr Akef El Maghraby in 1993.
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