Non-Decemet tripping Automated Endothelial Keratoplaty for Endothelial Dyfunction econdary to Argon Laer Iridotomy Original Reearch Article

Purpoe To report clinical outcome of non-Decemet tripping automated endothelial keratoplaty (nDAEK) a treatment of endothelial dyfunction econdary to argon laer iridotomy (ALI). Deign ingle-center, propective, noncomparative, interventional cae erie. Method ix eye of ix patient (two men, four women; mean age, 74.5 year) with bullou keratopathie econdary to ALI were treated with endothelial keratoplaty without recipient Decemet tripping. The donor endothelial lamella wa inerted uing a pull-through technique uing a Buin glide with intraocular len glide (i.e., Kobayahi double-glide technique). Bet-corrected viual acuity (BCVA), atigmatim, and donor central endothelial cell denity (ECD) were recorded before urgery and at ix month after urgery. Intraoperative and potoperative complication alo were recorded. Main outcome meaure were preoperative and potoperative central ECD, with calculation of cell lo rate. BCVA, induced atigmatim, and complication alo were evaluated. Reult All patient reached more than 20/32 BCVA, with two (33.3%) reaching 20/20. Mean induced atigmatim in meaurable cae wa 0.85 ± 0.49 diopter. The average and tandard deviation ECD at ix month were 2390.5 ± 522.4 cell/mm2 (range, 1589 to 2898 cell/mm2), repreenting a mean cell lo from preoperative donor cell meaurement of 25.8% ± 14.7%. Complication included one cae of donor dilocation requiring rebubbling (16.7%) and one cae of ubclinical endothelial rejection (16.7%). Concluion Thi modified endothelial keratoplaty technique (nDAEK and double-glide technique) for treatment of endothelial dyfunction econdary to ALI produced excellent clinical outcome uch a reduced endothelial cell lo, good viual acuity, and minimal induced atigmatim.