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WGA Rescources

Abstract #123560 Published in IGR 25-1

Intracellular dark spots are associated with endothelial cell loss after Descemet's stripping automated endothelial keratoplasty

Mori-Ogiwara Y; Yagi-Yaguchi Y; Ibrahim O; Higa K; Kasamatsu H; Kanda T; Tomida D; Oie Y; Hayashi T; Shimazaki J; Yamaguchi T
British Journal of Ophthalmology 2024; 0:


Intracellular dark endothelial spots (IDESs) on specular microscopy developed in 78/122 patients (63.9%) after Descemet stripping automated endothelial keratoplasty (DSAEK). Endothelial cell density (ECD) after DSAEK was significantly smaller in eyes with IDES when compared with those without at all time points (p<0.001) despite no significant difference in graft ECD (p=0.43), resulting in an increased rate of endothelial failure (p=0.044). The presence of glaucoma (OR=2.22, p=0.027), iris damage (OR=2.85, p=0.004) and non-Fuchs status (OR=2.37, p=0.018) were identified as risk factors for IDES development. Preoperative total protein level in aqueous humour was significantly higher in eye with endothelial failure than those without (p=0.0057).

Department of Ophthalmology, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Chiba, Japan.

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Classification:

15 Miscellaneous



Issue 25-1

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