Indian Journal of Clinical and Experimental Ophthalmology
Official Publication of Innovative Education and Scientific Research Foundation
Official Publication of Innovative Education and Scientific Research Foundation
Print ISSN: 2395-1443
Online ISSN: 2395-1451
CODEN : IJCEKF
Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...Original Article
Author Details :
Volume : 8, Issue : 4, Year : 2022
Article Page : 474-480
https://doi.org/10.18231/j.ijceo.2022.096
Abstract
Purpose: Evaluation of success rate of manual DSEK in terms of central corneal thickness and BSCVA in patients of PBK.
Materials and Methods: Prospective, non-comparative, interventional study of 18 patients of PBK, who underwent manual DSEK between June 2021 to May 2022 with minimum of six months to maximum of 15 months post-operative follow up. DSEK lenticule was prepared by manual dissection. Push in technique with 26 G needle was used for graft insertion. Preoperative and post-operative CCT and BSCVA were measured and compared.
Results: Preoperative central pachymetry in patients (n=18) was (832±162) µm which significantly reduced in the post operative period. The mean thickness of lenticule on day 1 post op was 203±93.5µm which became 156±76 µm (p =.0436) at 6 months and remained almost same till last follow up. Pre-operative BSCVA ranged from HM to 2/60 in these 18 patients which was improved in 16/18 eyes post DSEK. Eighty eight percent (15/17) patients had regained BSCVA of 6/60 to 6/12. In early post operative period, complications noted were, partial detachment of lenticule and pupillary block glaucoma which were managed accordingly.
Conclusion: Manual DSEK is feasible, low-cost widely accessible alternative to DSAEK/DMEK for patients of PBK with good visual outcome in resource limited settings.
Key message: Manual DSEK has short learning curve and it’s training should be imparted to corneal surgeons for better outcome in PBK and other causes of endothelial decompensation.
Keywords: Descemet's Stripping Endothelial Keratoplasty, Pseudophakic Bullous Keratopathy, Central Corneal thickness.
How to cite : Mazumdar S, Satsangi S K, Pandey R K, Dwivedi N, Malhotra O, Manual DSEK in patients with Pseudophakic Bullous Keratopathy: Viable option in resource limited settings. Indian J Clin Exp Ophthalmol 2022;8(4):474-480
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