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Descemet's stripping automated endothelial keratoplasty for congenital hereditary endothelial dystrophy

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Academic year: 2020

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Figure

Figure 4D – postoperative appearance at 1 year).
Figure 2 (A) intraoperative view of cornea after debridement of corneal epithelium; (B) scouring of Descemet’s membrane using a reverse Sinskey hook; (C) stripping of Descemet’s membrane from the overlying corneal stroma with a 90° Descemet’s stripper; (D) performing a peripheral iridectomy with a vitrector; (E) pulling the endothelial graft into the anterior chamber; (F) unfolding of the graft in anterior chamber; (G) an air bubble is injected under the graft; (H) centration of the donor disc by massaging the epithelial surface of the cornea with an irrigating cannula.
Figure 3 Injection of a large air bubble into the anterior chamber at the conclusion of the procedure.
Figure 5 (A) cross sectional appearance of corneal stroma at 3 months; (B) cross sectional appearance of corneal stroma at 6 months; (C) cross sectional appearance of corneal stroma at 1 year.

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