Visibility of the Retina Through an Air-Filled Anterior Chamber During Simultaneous Vitrectomy and Descemet’s Stripping Automated Endothelial Keratoplasty

Visibility of the Retina Through an Air-Filled Anterior Chamber During Simultaneous Vitrectomy and Descemet’s Stripping Automated Endothelial Keratoplasty

Hideaki Yokogawa, Akira Kobayashi, Natsuko Mori, Tsubasa Nishino, Kazuhisa Sugiyama Department of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, JapanCorrespondence: Hideaki YokogawaDepartment of Ophthalmology, Kanazawa University Graduate School of Medical Science,...

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Autores principales: Yokogawa H, Kobayashi A, Mori N, Nishino T, Sugiyama K
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2020
Materias:
descemet’s stripping automated endothelial keratoplasty
pars plana vitrectomy
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/6ab92240ee8d46b4891e23a07bd70c09
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spelling oai:doaj.org-article:6ab92240ee8d46b4891e23a07bd70c092021-12-02T10:10:16ZVisibility of the Retina Through an Air-Filled Anterior Chamber During Simultaneous Vitrectomy and Descemet’s Stripping Automated Endothelial Keratoplasty1177-5483https://doaj.org/article/6ab92240ee8d46b4891e23a07bd70c092020-07-01T00:00:00Zhttps://www.dovepress.com/visibility-of-the-retina-through-an-air-filled-anterior-chamber-during-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Hideaki Yokogawa, Akira Kobayashi, Natsuko Mori, Tsubasa Nishino, Kazuhisa Sugiyama Department of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, JapanCorrespondence: Hideaki YokogawaDepartment of Ophthalmology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa-shi, Ishikawa-ken 920-8641, JapanTel +81-76-265-2403Fax +81-76-222-9660Email hyoko@med.kanazawa-u.ac.jpPurpose: To describe the visibility of the retina through an air-filled anterior chamber during simultaneous pars plana vitrectomy (PPV) and Descemet’s stripping automated endothelial keratoplasty (DSAEK), and to discuss the technical challenges of a fluid-air exchange under such conditions.Methods: Six eyes from 6 patients with coexisting bullous keratopathy and posterior segment problems such as vitreous opacity, retained silicon oil, intraocular lens subluxation, or aphakia underwent simultaneous PPV and DSAEK. In all cases, after completion of 25-gauge PPV with/without flanged intrascleral intraocular lens fixation, DSAEK donor tissue was inserted into the anterior chamber. Air was then injected into the anterior chamber to attach the donor graft to the back surface of the host cornea. At this point, the visibility of the retina was evaluated using endoillumination and a wide-angle viewing system.Results: In all cases, visibility of the retina through an air-filled anterior chamber, with the DSAEK donor attached, was sufficient to perform a fluid-air exchange.Conclusion: Our clinical observations of such rare but clinically important conditions indicate that simultaneous PPV and DSAEK is possible with fair visualization of the posterior segment including the retina.Keywords: Descemet’s stripping automated endothelial keratoplasty, pars plana vitrectomyYokogawa HKobayashi AMori NNishino TSugiyama KDove Medical Pressarticledescemet’s stripping automated endothelial keratoplastypars plana vitrectomyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2119-2123 (2020)
institution DOAJ
collection DOAJ
language EN
topic descemet’s stripping automated endothelial keratoplasty
pars plana vitrectomy
Ophthalmology
RE1-994
spellingShingle descemet’s stripping automated endothelial keratoplasty
pars plana vitrectomy
Ophthalmology
RE1-994
Yokogawa H
Kobayashi A
Mori N
Nishino T
Sugiyama K
Visibility of the Retina Through an Air-Filled Anterior Chamber During Simultaneous Vitrectomy and Descemet’s Stripping Automated Endothelial Keratoplasty
description Hideaki Yokogawa, Akira Kobayashi, Natsuko Mori, Tsubasa Nishino, Kazuhisa Sugiyama Department of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, JapanCorrespondence: Hideaki YokogawaDepartment of Ophthalmology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa-shi, Ishikawa-ken 920-8641, JapanTel +81-76-265-2403Fax +81-76-222-9660Email hyoko@med.kanazawa-u.ac.jpPurpose: To describe the visibility of the retina through an air-filled anterior chamber during simultaneous pars plana vitrectomy (PPV) and Descemet’s stripping automated endothelial keratoplasty (DSAEK), and to discuss the technical challenges of a fluid-air exchange under such conditions.Methods: Six eyes from 6 patients with coexisting bullous keratopathy and posterior segment problems such as vitreous opacity, retained silicon oil, intraocular lens subluxation, or aphakia underwent simultaneous PPV and DSAEK. In all cases, after completion of 25-gauge PPV with/without flanged intrascleral intraocular lens fixation, DSAEK donor tissue was inserted into the anterior chamber. Air was then injected into the anterior chamber to attach the donor graft to the back surface of the host cornea. At this point, the visibility of the retina was evaluated using endoillumination and a wide-angle viewing system.Results: In all cases, visibility of the retina through an air-filled anterior chamber, with the DSAEK donor attached, was sufficient to perform a fluid-air exchange.Conclusion: Our clinical observations of such rare but clinically important conditions indicate that simultaneous PPV and DSAEK is possible with fair visualization of the posterior segment including the retina.Keywords: Descemet’s stripping automated endothelial keratoplasty, pars plana vitrectomy
format article
author Yokogawa H
Kobayashi A
Mori N
Nishino T
Sugiyama K
author_facet Yokogawa H
Kobayashi A
Mori N
Nishino T
Sugiyama K
author_sort Yokogawa H
title Visibility of the Retina Through an Air-Filled Anterior Chamber During Simultaneous Vitrectomy and Descemet’s Stripping Automated Endothelial Keratoplasty
title_short Visibility of the Retina Through an Air-Filled Anterior Chamber During Simultaneous Vitrectomy and Descemet’s Stripping Automated Endothelial Keratoplasty
title_full Visibility of the Retina Through an Air-Filled Anterior Chamber During Simultaneous Vitrectomy and Descemet’s Stripping Automated Endothelial Keratoplasty
title_fullStr Visibility of the Retina Through an Air-Filled Anterior Chamber During Simultaneous Vitrectomy and Descemet’s Stripping Automated Endothelial Keratoplasty
title_full_unstemmed Visibility of the Retina Through an Air-Filled Anterior Chamber During Simultaneous Vitrectomy and Descemet’s Stripping Automated Endothelial Keratoplasty
title_sort visibility of the retina through an air-filled anterior chamber during simultaneous vitrectomy and descemet’s stripping automated endothelial keratoplasty
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/6ab92240ee8d46b4891e23a07bd70c09
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