A sliding technique to load thin endothelial donor lamella onto Busin glide for Descemet-stripping automated endothelial keratoplasty

Akira Kobayashi, Hideaki Yokogawa, Kazuhisa SugiyamaDepartment of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, JapanAbstract: We describe a modified technique for loading donor corneal endothelial lamella onto a Busin glide&reg; without causing wrinkles, a...

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Autores principales:	Kobayashi A, Yokogawa H, Sugiyama K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/93a30aeac69b44a9a0dfb8df84b0e9a4
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spelling	oai:doaj.org-article:93a30aeac69b44a9a0dfb8df84b0e9a42021-12-02T05:19:16ZA sliding technique to load thin endothelial donor lamella onto Busin glide for Descemet-stripping automated endothelial keratoplasty1177-54671177-5483https://doaj.org/article/93a30aeac69b44a9a0dfb8df84b0e9a42012-08-01T00:00:00Zhttp://www.dovepress.com/nbspa-sliding-technique-to-load-thin-endothelial-donor-lamella-onto-bu-a10594https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Akira Kobayashi, Hideaki Yokogawa, Kazuhisa SugiyamaDepartment of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, JapanAbstract: We describe a modified technique for loading donor corneal endothelial lamella onto a Busin glide&reg; without causing wrinkles, as part of the procedure of Descemet-stripping automated endothelial keratoplasty. Briefly, after punching out a composite of the donor-endothelial lamella and a microkeratome-dissected cap, several drops of dispersive ophthalmic viscosurgical device are placed onto the endothelial surface. The Busin glide surface is then wetted with several drops of balanced salt solution. After the composite is transferred onto the Busin glide, hydrodissection of the potential space between the donor-endothelial lamella and the microkeratome-dissected cap is carefully performed to enable smooth detachment of these two lamellae. Whereas simply dragging the donor-endothelial lamella directly onto the glide can cause wrinkling or folding of the donor lamella, this technique enables smooth detachment of the composite without wrinkle or fold formation, and results in less endothelial cell damage.Keywords: DSAEK, Busin glide, endothelial keratoplastyKobayashi AYokogawa HSugiyama KDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1229-1231 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kobayashi A Yokogawa H Sugiyama K A sliding technique to load thin endothelial donor lamella onto Busin glide for Descemet-stripping automated endothelial keratoplasty
description	Akira Kobayashi, Hideaki Yokogawa, Kazuhisa SugiyamaDepartment of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, JapanAbstract: We describe a modified technique for loading donor corneal endothelial lamella onto a Busin glide&reg; without causing wrinkles, as part of the procedure of Descemet-stripping automated endothelial keratoplasty. Briefly, after punching out a composite of the donor-endothelial lamella and a microkeratome-dissected cap, several drops of dispersive ophthalmic viscosurgical device are placed onto the endothelial surface. The Busin glide surface is then wetted with several drops of balanced salt solution. After the composite is transferred onto the Busin glide, hydrodissection of the potential space between the donor-endothelial lamella and the microkeratome-dissected cap is carefully performed to enable smooth detachment of these two lamellae. Whereas simply dragging the donor-endothelial lamella directly onto the glide can cause wrinkling or folding of the donor lamella, this technique enables smooth detachment of the composite without wrinkle or fold formation, and results in less endothelial cell damage.Keywords: DSAEK, Busin glide, endothelial keratoplasty
format	article
author	Kobayashi A Yokogawa H Sugiyama K
author_facet	Kobayashi A Yokogawa H Sugiyama K
author_sort	Kobayashi A
title	A sliding technique to load thin endothelial donor lamella onto Busin glide for Descemet-stripping automated endothelial keratoplasty
title_short	A sliding technique to load thin endothelial donor lamella onto Busin glide for Descemet-stripping automated endothelial keratoplasty
title_full	A sliding technique to load thin endothelial donor lamella onto Busin glide for Descemet-stripping automated endothelial keratoplasty
title_fullStr	A sliding technique to load thin endothelial donor lamella onto Busin glide for Descemet-stripping automated endothelial keratoplasty
title_full_unstemmed	A sliding technique to load thin endothelial donor lamella onto Busin glide for Descemet-stripping automated endothelial keratoplasty
title_sort	sliding technique to load thin endothelial donor lamella onto busin glide for descemet-stripping automated endothelial keratoplasty
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/93a30aeac69b44a9a0dfb8df84b0e9a4
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A sliding technique to load thin endothelial donor lamella onto Busin glide for Descemet-stripping automated endothelial keratoplasty

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