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COMMENTS AND OPINIONS
How Was Histologic Analysis of the Descemet Membrane Done After DSAEK?
Ladan Espandar, MD;
Majid Moshirfar, MD;
Nick Mamalis, MD
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We read with interest the article by Heindl et al1 regarding histologic and transmission electron microscopy analysis of 20 Descemet membrane specimens obtained after Descemet stripping in Descemet-stripping automated endothelial keratoplasty (DSAEK) and would like to congratulate the authors for the new insight gained by their assessment of Descemet membrane specimens. However, we have a few questions concerning the methodology of the study.
1. There are several techniques for inserting a donor posterior lamellar disc in DSAEK. The authors describe an unusual approach of using an 8-mm nasal scleral tunnel that has not been described in the literature. One might think creation of such an incision is not only surgically difficult but may create a potential risk of pseudopterygium and/or induced astigmatism. Even for pull-through techniques, the literature suggests using smaller (usually 5 mm) scleral, limbal, and/or clear corneal incisions superiorly or . . . [Full Text of this Article]
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RELATED ARTICLE
Histologic Analysis of Descemet Stripping in Posterior Lamellar Keratoplasty
Ludwig M. Heindl, Carmen Hofmann-Rummelt, Ursula Schlötzer-Schrehardt, Friedrich E. Kruse, and Claus Cursiefen
Arch Ophthalmol. 2008;126(4):461-464.
ABSTRACT
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RELATED LETTER
How Was Histologic Analysis of the Descemet Membrane Done After DSAEK?—Reply
Ludwig M. Heindl, Carmen Hofmann-Rummelt, Ursula Schlötzer-Schrehardt, Friedrich E. Kruse, and Claus Cursiefen
Arch Ophthalmol. 2009;127(2):226-227.
EXTRACT
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