ULTRA THIN GRAFT NEW GRAFT OFFERS BETTER VISUAL REHABILITATION.
Published 2025 - 29th ESCRS Winter Meeting
Reference: PO261 | Type: Presented Poster & Poster | DOI: 10.82333/djea-0w68
Authors: Nikolaos Ktistakis* 1 , IOANNA GARDELI 1
1CORNEA AND TRANSPLANTATION UNIT,G. GENNIMATAS OPHTHALMOLOGY CLINIC,ATHENS,Greece
Purpose
To present a case of re-DSAEK due to failure of the existing graft, using an ultra thin new graft in an 81 year old female patient.
Setting
Cornea and Transplantation Unit, ophthalmology Clinic, G. Gennimatas Hospital, Athens
Methods
The case is about an elderly patient with clear medical history. Her ophthalmological history is consistent with glaucoma under treatment and DSAEK procedure in the left eye (OS) 10 years prior. She was under constant observation and failure of the graft was noted. A second DSAEK procedure was performed by using an ultra thin graft of 41 μm. The postoperative course was uneventful and the patient recovered 20/25 vision.
Results
The surgery was very challenging, as the management of an ultra thin graft requires special maneuvers in order not to injure the graft and loose endothelial cells.
Conclusion
Using ultra thin grafts offers a better visual outcome for the patient by reducing the hypermetropic shift. Ultra thin DSEAK offers lesser complication rates and comparable post-operative endothelial cells to DMEK, upon reviewing the literature.