Journal of Current Ophthalmology

CASE REPORT
Year
: 2022  |  Volume : 34  |  Issue : 2  |  Page : 257--259

Descemet's stripping automated endothelial keratoplasty using donor tissue from an 83-day-old infant


Nikolaos Ziakas1, Angeliki Chranioti3, Argyrios Tzamalis2, Dimitrios Giannoulis4, Dimitrios Kapantais4, Michael Tsatsos4, Konstantinos T Tsaousis2 
1 2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou Hospital; 1st Department of Ophthalmology, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece
2 2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou Hospital, Thessaloniki, Greece

Correspondence Address:
Argyrios Tzamalis
2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki
Greece

Purpose: To report a case of Descemet stripping automated endothelial keratoplasty (DSAEK) combined with phacoemulsification in an adult recipient using endothelial graft from an 83-day-old infant donor. Methods: A corneoscleral button was obtained from an infant donor and a DSAEK graft was prepared using a microkeratome. In comparison to the standard technique of DSAEK graft preparation some modifications were made in order to avoid inadvertent perforation, as the donor cornea had a very spherical shape, probably due to the very young age of the donor. The DSAEK graft was transplanted to the left eye of a 68-year-old woman suffering from Fuchs' endothelial dystrophy. Her preoperative best-corrected visual acuity (BCVA) in that eye was 20/100 and central corneal thickness 831 μm. Results: An uneventful DSAEK combined with phacoemulsification was performed. The main complication noted was detachment of the peripheral part and contraction of the corneal graft, observed two months after the procedure. The implanted tissue remained centrally attached with a BCVA of 20/40, 3 years postoperatively. Conclusion: This case report highlights the difficulties emerging from preparation and implantation using an endothelial graft tissue from the youngest ever reported donor.


How to cite this article:
Ziakas N, Chranioti A, Tzamalis A, Giannoulis D, Kapantais D, Tsatsos M, Tsaousis KT. Descemet's stripping automated endothelial keratoplasty using donor tissue from an 83-day-old infant.J Curr Ophthalmol 2022;34:257-259


How to cite this URL:
Ziakas N, Chranioti A, Tzamalis A, Giannoulis D, Kapantais D, Tsatsos M, Tsaousis KT. Descemet's stripping automated endothelial keratoplasty using donor tissue from an 83-day-old infant. J Curr Ophthalmol [serial online] 2022 [cited 2023 Feb 4 ];34:257-259
Available from: http://www.jcurrophthalmol.org/article.asp?issn=2452-2325;year=2022;volume=34;issue=2;spage=257;epage=259;aulast=Ziakas;type=0