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Journals / Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2012 / Cilt: 23 - Sayı: 3

Keratometric values change after descemet s stripping automated endothelial keratoplasty

Desme soymalı otomatize endotelyal keratoplasti ameliyatı sonrası keratometrik değerlerdeki değişiklikler

Oğuzhan GENÇ
Anıl KUBALOĞLU
Nurullah BULUT
Abdulkadir ORT
Alime Sefer GÜNEŞ
Tuba Kabataş ÇINAR
Pınar Sorgun EVCİLİN
Pages
137–142
Publication Date
2022-10-17
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The mean keratometric astigmatism was 1.69±1.27 D at the first month and 1.65±1.51D at the last control visit.Conclusion: DSAEK surgery resulted in better outcomes, preserving anatomical integrity, causing minimal corneal keratometric changes, inducing minimal astigmatism with stable refractive values.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: The aim of this study was to compare preoperative and postoperative keratometric values in patients who had Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) surgery.Methods: Twenty five eyes of 25 patients who had undergone DSAEK surgery due to endothelial dysfunction were reviewed retrospectively.
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Key Findings & Data:Refractive and keratometric measurements were recorded.Results: There were 11 (44%) female and 14 (56%) male patients.
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Conclusion & Impact:The mean keratometric astigmatism was 1.69±1.27 D at the first month and 1.65±1.51D at the last control visit.Conclusion: DSAEK surgery resulted in better outcomes, preserving anatomical integrity, causing minimal corneal keratometric changes, inducing minimal astigmatism with stable refractive values.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background: The aim of this study was to compare preoperative and postoperative keratometric values in patients who had Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) surgery.Methods: Twenty five eyes of 25 patients who had undergone DSAEK surgery due to endothelial dysfunction were reviewed retrospectively. Refractive and keratometric measurements were recorded.Results: There were 11 (44%) female and 14 (56%) male patients. The mean age was 60.4±11.5 years (range 41-81). Nineteen eyes (76%) had bullous keratopathy, 4 eyes (16%) had Fuch s endothelial dystrophy and 2 eyes (8%) had corneal graft failure. The mean follow-up period was 25.4±9.2 months (6-45 months). The mean maximum keratometry (Kmax) was 43.82±1.59 Diopter (D) (range, 42.00-50.00 D) preoperatively. The mean Kmax was 44±1.7 D (42.00-50.00 D) at the first control visit and 44.05±2.12 D (41.75-49.75 D) at the last control visit postoperatively. The mean keratometric astigmatism was 1.72±1.34 D preoperatively. The mean keratometric astigmatism was 1.69±1.27 D at the first month and 1.65±1.51D at the last control visit.Conclusion: DSAEK surgery resulted in better outcomes, preserving anatomical integrity, causing minimal corneal keratometric changes, inducing minimal astigmatism with stable refractive values.

Özet

Amaç: Desme Soymalı Otomatize Endotelyal Keratoplasti (DSAEK) tekniği ile gerçekleştirdiğimiz arka lameller keratoplasti hastalarının ameliyat öncesi ve sonrası keratometrik değerlerini karşılaştırarak oluşan değişiklikleri kaydetmekti.Hastalar ve Yöntem: Korneal endotelyel yetersizlik nedeniyle DSAEK tekniği ile endotelyal keratoplasti yapılmış 25 hastanın 25 gözünün dosyaları retrospektif olarak incelendi. Keratometrik ve refraktif ölçümleri kaydedildi.Bulgular: Hastaların 11i kadın (%44), 14ü ise erkek (%56) idi. Ortalama yaş 60.4±11.5 (dağılım 41-81 yıl) idi. Ameliyat öncesi gözlerin 19unda (%76) büllöz keratopati, 4ünde (%16) Fuchs distrofisi ve 2sinde (%8) greft yetersizliği mevcut idi. Ortalama takip süresi 20.8±7.8 (dağılım 6-36 ay) idi. Ortalama maksimum keratometri değerleri, ameliyat öncesi 43.82±1.59 diyoptri (D) iken (42.00-50.00 D) ameliyat sonrası hastaların ilk kontrollerinde 44±1.7 D (42.00-50.00 D), son kontrollerinde 44.05±2.12 D (41.75-49.75 D) olarak saptandı. Hastaların ameliyat öncesi ortalama keratometrik astigmatizma değerleri 1.72±1.34 D iken, 1. aydaki kontrolde ortalama keratometrik astigmatizma 1.69±1.27 D, son kontrolde bu değer 1.65±1.51 D olarak bulundu.Sonuç: Cerrahi sonrası anatomik bütünlüğün korunması, korneadaki keratometrik değişikliklerin ve uyarılmış cerrahi astigmatizmanın minimal oluşu, stabil refraktif değere ulaşılması bakımından DSAEK ameliyatları ile iyi sonuçlar alınabildiği görülmektedir.

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Cite This Article

GENÇ, O., KUBALOĞLU, A., BULUT, N., ORT, A., GÜNEŞ, A. S., ÇINAR, T. K., EVCİLİN, P. S. (2022). Keratometric values change after descemet s stripping automated endothelial keratoplasty. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 23 - Sayı: 3, 137–142. https://ajindex.com/articles/571434

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