Donor disc attachment assessment with intraoperative spectral optical coherence tomography during descemet stripping automated endothelial keratoplasty

Abstract

Optical coherence tomography has already been proven to be useful for pre- and post-surgical anterior eye segment assessment, especially in lamellar keratoplasty procedures. There is no evidence for intraoperative usefulness of optical coherence tomography (OCT). We present a case report of the intraoperative donor disc attachment assessment with spectral-domain optical coherence tomography in case of Descemet stripping automated endothelial keratoplasty (DSAEK) surgery combined with corneal incisions. The effectiveness of the performed corneal stab incisions was visualized directly by OCT scan analysis. OCT assisted DSAEK allows the assessment of the accuracy of the Descemet stripping and donor disc attachment.

Keywords

• Chemotherapy
• focal treatment
• retinoblastoma
• Allergic eye disease
• papillae
• shield ulcer
• vernal keratoconjunctivitis
• Anti-VEGF injections
• bevacizumab
• neovascular age-related macular degeneration
• ranibizumab
• submacular hemorrhage
• Emergency department
• ocular
• trauma
• work related injuries
• Ocular trauma
• open globe injury
• preoperative (initial) visual acuity
• prognostic factors
• relative afferent pupillary defect
• Configuration
• choroidal neovascular membrane
• foveal slope
• foveal thickness
• neovascular age-related macular degeneration
• macular pigment
• Descemet membrane
• keratoplasty
• optical coherence tomography