Endothelial keratoplasty: Descemet stripping (DSEK) using TAN EndoGlide™ device: case series

• Published in: Arquivos brasileiros de oftalmologia Vol. 74; no. 3; pp. 195 - 200
• Main Authors: Pazos, Henrique Santiago Baltar, Pazos, Paula Fernanda Morais Ramalho Baltar, Nogueira Filho, Pedro Antônio, Grisolia, Ana Beatriz Diniz, Silva, André Berger Emiliano, Gomes, José Álvaro Pereira
• Format: Journal Article
• Language: Portuguese
• Published: Brazil 01-05-2011
• Subjects: Aged; Aged, 80 and over; Corneal Diseases - surgery; Descemet Membrane - surgery; Descemet Stripping Endothelial Keratoplasty - instrumentation; Descemet Stripping Endothelial Keratoplasty - methods; Endothelium, Corneal - transplantation; Female; Follow-Up Studies; Humans; Male; Middle Aged; Prospective Studies; Treatment Outcome; Visual Acuity
• ISSN: 1678-2925
• DOI: 10.1590/S0004-27492011000300010

To report the results of Descemet stripping endothelial keratoplasty (DSEK) using the TAN EndoGlideTM device to facilitate the insertion of the endothelial membrane.
Prospective clinical study that included nine patients presenting corneal edema secondary to endothelial dysfunction. Best corrected visual acuity, refraction, central corneal thickness, endothelial cell density and complications were analyzed after a six-month follow-up.
There was a significant improvement in the corneal edema and visual acuity in 7 patients (77.78%). The best corrected visual acuity ranged between 20/40 and 20/200. The average density of endothelial cells in six months varied between 1,305 cells/mm² and 2,346 cells/mm² with an average loss of 33.14% cells. Detachment of part of the graft was observed in one eye (11.11%) and primary failure of the endothelial transplantation occurred in 2 eyes (22.22%).
The device TAN EndoGlideTM facilitates the introduction of the graft in Descemet stripping endothelial keratoplasty.