Dr.SUSHANK BHALERAO
Aim: To compare long-term outcomes after rebubbling for graft detachment with eyes which did not have graft detachment after DSEK.
Methods: From 2260 eyes that underwent DSEK from July 2008 to June 2015, 160 eyes (80 control eyes without graft detachment and 80 eyes with graft detachment after DSEK)were retrospectively reviewed. Host-related, surgery-related and donor-related factors were studied.
Results: In the study group successful graft attachment was observed in 77 (96.25%) eyes, and clear grafts in 55 (68.75%) eyes while graft attachment and clear graft was observed in 80 (100%) eyes of control group.Lower donor endothelial cell density was found to be significant risk factor for graft failure.
Conclusion: Rebubbling in detached grafts after DSEK can reattach the lenticule in 96% of eyes in immediate post-operative period with results comparable to control patients and majority of grafts remained clear on long-term follow-up with median graft survival period of 2.5 years.
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