Suturing Technique to Promote Graft Attachment in Challengin
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Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) is a form of corneal transplantation in which a donor posterior corneal button, including donor corneal endothelium, Descemet’s membrane, and posterior corneal stroma, is used for selective replacement of corneal endothelium in conditions characterized by corneal endothelial dysfunction. It is considered a safe technique that results in early visual recovery and refractive and tectonic stability . Graft dislocation is the most common post-operative complication of DSAEK.We report a case series of 12 patients who undergo DSAEK in the presence of high risk for graft detachment factors. We describe a technique that uses a transcorneal fixation suture to compress the donor graft onto the back surface of the recipient cornea, promoting endothelial graft attachment.

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