Comparison of graft survival after FS-DSEK in patients with glaucoma operated by various methods

Purpose. To evaluate the graft survival in the dynamics of the postoperative period of FS-DSEK in patients with concomitant glaucoma. Material and methods. In total 52 eyes were operated, 32 of them with glaucoma compensated by medication (1st group), 8 with glaucoma operated by implantation of the...

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Main Authors: K.I. Katmakov, N.A. Pozdeeva, A.N. Pashtaev, N.P. Pashtaev, E.M. Mamedova, A.M. Gelyastanov
Format: Article
Language:Russian
Published: Publishing house "Ophthalmology" 2023-09-01
Series:Офтальмохирургия
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Online Access:https://ophthalmosurgery.ru/index.php/ophthalmosurgery/article/view/522/782
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Summary:Purpose. To evaluate the graft survival in the dynamics of the postoperative period of FS-DSEK in patients with concomitant glaucoma. Material and methods. In total 52 eyes were operated, 32 of them with glaucoma compensated by medication (1st group), 8 with glaucoma operated by implantation of the Ahmed valve model FP8 (2nd group) and 12 with glaucoma operated by microinvasive non-penetrating deep sclerectomy with implantation of collagen antiglaucoma drainage (3rdgroup). All patients have a follow-up of 12 months. Results. By 1 year, the «cornea + graft» complex retained its transparency in group 1 in 84.4% of eyes (27 out of 32 eyes), in group 2 in 87.5% of cases (7 out of 8 eyes), in group 3 in 75% of cases (9 out of 12 eyes). The highest percentage of endothelial cell loss at 12 months was observed in 2nd group (Ahmed valve) – 45,4±19,5%. In other groups, endothelial cell loss was 41,8±9,1% (group 3) and 39,6±15,2% (1st group). Conclusion. Clinical results show a lower percentage of graft survival after FS-DSEK in the operated glaucoma groups. Accumulation of clinical material and further study of patterns are required.
ISSN:0235-4160
2312-4970