Ang Andrea Y, Liu Yu-Chi, Tan Donald T, Mehta Jodhbir S
Lions Eye Institute, 2 Verdun Street, Nedlands, Perth, 6009 Australia.
Expert Rev Med Devices. 2014 Nov;11(6):573-9. doi: 10.1586/17434440.2014.947273. Epub 2014 Aug 7.
Endothelial keratoplasty has largely replaced penetrating keratoplasty as the preferred technique to selectively replace diseased corneal endothelium. Descemet's stripping automated endothelial keratoplasty (DSAEK) is the most common type of endothelial keratoplasty performed worldwide. One of the challenges in DSAEK is the insertion of the donor lenticule into the eye using a method so as to minimize endothelial cell loss. Various techniques have been suggested such as forceps insertion and graft insertion devices. With the trend towards using thinner DSAEK tissue and Descemet membrane endothelial keratoplasty, there are increasing challenges in inserting and manipulating even more delicate tissue. The EndoGlide Ultrathin has several new features that will enable easier insertion of thinner DSAEK tissue. This paper presents the features and surgical technique of the EndoGlide Ultrathin during DSAEK.
内皮角膜移植术已在很大程度上取代穿透性角膜移植术，成为选择性替换病变角膜内皮的首选技术。Descemet膜剥除自动内皮角膜移植术（DSAEK）是全球范围内最常见的内皮角膜移植术类型。DSAEK面临的挑战之一是采用一种方法将供体植片插入眼内，以尽量减少内皮细胞损失。已提出了各种技术，如镊子插入法和植片插入装置。随着使用更薄的DSAEK组织和Descemet膜内皮角膜移植术的趋势，插入和操作甚至更脆弱的组织面临着越来越多的挑战。EndoGlide超薄型具有几个新特性，将使更薄的DSAEK组织更容易插入。本文介绍了DSAEK手术中EndoGlide超薄型的特性和手术技术。
