Pre-Descemet's endothelial keratoplasty (PDEK)

Dua, Harminder; Agarwal, Amar; Narang, Priya; Kumar, Dhivya A; Agarwal, Ashvin; Jacob, Soosan; Agarwal, Athiya; Gupta, Ankur

Abstract

A new surgical technique for endothelial keratoplasty is described, in which the composite of pre-Descemet's layer (Dua's layer) with Descemet's membrane and endothelium is transplanted subsequent to the removal of the recipient's Descemet's membrane. The technique was performed in five eyes of five patients, with successful attachment of the graft and good postoperative visual recovery in all cases. Postoperative optical coherence tomography showed good graft attachment without interface abnormalities and a mean graft thickness was 28±5.6 μm. This study demonstrates the practicality of the technique, termed pre-Descemet's endothelial keratoplasty (PDEK), which can be a viable option in endothelial keratoplasty with some potential advantages.

Citation

Dua, H., Agarwal, A., Narang, P., Kumar, D. A., Agarwal, A., Jacob, S., Agarwal, A., & Gupta, A. (2014). Pre-Descemet's endothelial keratoplasty (PDEK). British Journal of Ophthalmology, 98(9), 1181-1185. https://doi.org/10.1136/bjophthalmol-2013-304639

• Journal Article Type: Article
• Acceptance Date: Mar 2, 2014
• Online Publication Date: Mar 21, 2014
• Publication Date: 2014-09
• Deposit Date: May 24, 2018
• Print ISSN: 0007-1161
• Electronic ISSN: 1468-2079
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 98
• Issue: 9
• Pages: 1181-1185
• DOI: https://doi.org/10.1136/bjophthalmol-2013-304639
• Public URL: https://nottingham-repository.worktribe.com/output/1118096
• Publisher URL: https://bjo.bmj.com/content/98/9/1181
• PMID: 24659352