Título Complicaciones tras queratoplastia endotelial: tres años de experiencia
Autores Villarrubia A., Palacín E., Aránguez C., Solana J., GARCÍA ALONSO, CARLOS, GARCÍA ALONSO, CARLOS
Publicación externa No
Medio Arch. Soc. Esp. Oftalmol.
Alcance Article
Naturaleza Científica
Cuartil SJR 3
Impacto SJR 0.27400
Ámbito Internacional
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-79960453472&doi=10.1016%2fj.oftal.2010.12.013&partnerID=40&md5=c6e70657d813067c4acfac1dca93a5b2
Fecha de publicacion 01/01/2011
Scopus Id 2-s2.0-79960453472
DOI 10.1016/j.oftal.2010.12.013
Abstract Objective: To study the complications after Descemet's stripping automated endothelial keratoplasty (DSAEK). Methods: Retrospective study of 75 eyes in 67 patients with Fuchs' endothelial dystrophy or bullous keratopathy operated on in the Instituto de Oftalmología La Arruzafa from March, 2007 until March, 2010. Phacoemulsification and IOL implantation was involved in 30 cases. All surgical and post-surgical complications, as well as the endothelial cell density were recorded. Results: Graft detachment was the most common complication: 17 cases (22.5%); 16 of them resolved with reintroduction of air in the anterior chamber. The rate of detachment in cases without capsular support (8 eyes) increased up to 50%. Five cases had primary graft failure and, in 2 cases, a medium term failure was observed. Only one case of endothelial rejection was observed (1.3%). Five eyes (6.5%) developed a pupillary block, but of them were solved with the aspiration of the air. In one eye (1.3%), a posterior capsule rupture was observed during the phacoemulsification. This case ended with a retinal detachment. The endothelial cell loss was 42.75%. Conclusions: DSAEK is an effective surgical technique to resolve the corneal oedema due to endothelial failure; however, complications are not uncommon. Graft detachment is the most common complication, but is usually resolved with re-bubbling. There is an evident learning curve and the surgical trauma to the endothelium is the most important factor that influences the endothelial cell loss. © 2010 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L. Todos los derechos reservados.
Palabras clave adult; aged; anterior eye chamber; article; blister; congenital cornea dystrophy; cornea disease; cornea endothelium; Descemet stripping endothelial keratoplasty; female; human; lens implantation; len
Miembros de la Universidad Loyola

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