Descemet Stripping Automated Endothelial Keratoplasty for Treatment of Pseudophakic Bullous Keratopathy

Pur po se: To evaluate the results and complications of Descemet stripping automated endothelial keratoplasty (DSAEK) in the\udtreatment of pseudophakic bullous keratopathy (PBK).\udMa te ri al and Met hod: Twenty eyes of 20 patients who underwent DSAEK with a diagnosis of PBK in our clinic between\udSeptember 2010-January 2012 were included in this study. Pre- and postoperative best-corrected visual acuity (BCVA), refraction\udvalues, endothelial cell density, and graft position were analyzed. Complications and treatments were recorded.\udRe sults: The mean age of the 20 patients (11female, 9 male) was 71.44±7.55 years (range: 56-83 years) and the mean follow-up time\udwas 11.35±3.90 months (range: 3-16 months). Preoperative mean BCVA was 0.04±0.044 and 12-month BCVA was 0.55±0.22\ud(p=0.001). Mean endothelial cell density was 1508.42±254.82 cell/mm² at 12-month follow-up visit. Dislocation of graft lenticule\udoccurred in five patients and graft failure occurred in one patient.\udDis cus si on: DSAEK, due to the more rapid rehabilitation, is an alternative to penetrating keratoplasty in the treatment of\udendothelial diseases despite the steep learning curve and different complications. (Turk J Ophthalmol 2012; 42: 263-68