About this trial
To evaluate the clinical outcomes (pos toperative best corrected visual acuity, endothelial count) and anatomical results (interface smoothness) of DSAEK with Femto LDV-prepared grafts from the endothelial side.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
None
Trial design
Single group
Treatments tested in this trial
Endothelial Side Up Femtosecond Laser Assisted DSAEK
Procedure/SurgeryThe Femto LDV Z8 laser system will be set to create a 100 μm thick graft with a 7.5 mm diameter. The graft will be inverted, placed endothelial side up in the anterior chamber, and coated with Viscoat. A fixation ring will center the graft by holding the scleral rim with forceps. After cutting, the cornea should remain endothelium-up, stained with Trypan Blue, and dissected using a blunt spatula. The graft will be placed on a Busin glide and coated with Viscoat. A 3-4 mm corneal incision will be made, and Descemet's membrane will be marked and stripped. The graft will be inserted using the Busin glide, spreading automatically. A small air bubble will fill the anterior chamber to compress the graft for 10 minutes.
Treatment groups
Trial outcomes
Primary outcomes
Best spectacle-corrected visual acuity
Measurement Tool: Snellen chart Unit of Measure: LogMAR
Endothelial cell count using specular microscopy
Measurement Tool: Specular microscopy Time Frame: After 3 months and 6 months
Secondary outcomes
Total central corneal thickness (CCT)
Measurement Tool: Anterior Segment Optical Coherence Tomography (AS-OCT) Unit of Measure: Micrometers (µm)
Donor Corneal Endothelial Thickness (CET)
Measurement Tool: Anterior Segment Optical Coherence Tomography (AS-OCT) Unit of Measure: Micrometers (µm)
Sponsors and contacts
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