Mamikonian V R, Trufanov S V, Borodina N V
Vestn Oftalmol. 2012 Jul-Aug;128(4):3-10.
The results of different techniques of automated endothelial keratoplasty (EKP) performed in 72 patients with bullous keratopathy are estimated. Automated EKP with superficial flap was performed in 18 patients (1st group), Descemet stripping automated EKP (DSAEK) - in 26 patients (2nd group), Descemet stripping automated EKP (DSAEK) with thin grafts - in 20 patients (3rd group), Descemet membrane automated EKP with stromal rim (DMAEK) - in 8 patients (4th group). According to our results DSAEK with thin grafts is indicated to elderly patients with severe ocular disease (ocular comorbidities, repeated surgery, advanced keratopathy). DSAEK is a promising surgical technique allowing to achieve the best functional results. Nevertheless this procedure is technically challenging and is good for relatively functionally "preserved" patient groups.
评估了72例大泡性角膜病变患者接受不同技术的自动内皮角膜移植术（EKP）的结果。18例患者（第一组）接受了带浅层瓣的自动EKP，26例患者（第二组）接受了后弹力层剥除自动EKP（DSAEK），20例患者（第三组）接受了带薄植片的后弹力层剥除自动EKP（DSAEK），8例患者（第四组）接受了带基质边缘的后弹力层膜自动EKP（DMAEK）。根据我们的结果，带薄植片的DSAEK适用于患有严重眼部疾病（眼部合并症、再次手术、晚期角膜病变）的老年患者。DSAEK是一种有前景的手术技术，能够取得最佳的功能效果。然而，该手术在技术上具有挑战性，适用于功能相对“保留”的患者群体。
