Clinical results after single asymmetrical shark fin for graft orientation in DMEK
Purpose Evaluating the effect of a single peripheral triangular mark to ensure the correct anterior–posterior graft orientation in DMEK. Methods Retrospective study of patients scheduled for DMEK due to Fuchs endothelial dystrophy and divided into 2 study groups: Group −M ( n = 184) had no mark of...
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| Veröffentlicht in: | International ophthalmology 2022-04, Vol.42 (4), p.1061-1068 |
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| creator | Rickmann, Annekatrin Boden, Karl Trouvain, André M. Müller, Lisa J. Bocqué, Catheline Thaler, Sebastian Szurman, Peter |
| description | Purpose
Evaluating the effect of a single peripheral triangular mark to ensure the correct anterior–posterior graft orientation in DMEK.
Methods
Retrospective study of patients scheduled for DMEK due to Fuchs endothelial dystrophy and divided into 2 study groups: Group −M (
n
= 184) had no mark of the EDM (Endothelial Descemet membrane) and group + M (
n
= 193) had a triangular peripheral mark. Follow-up time was 1 year after surgery.
Results
The postoperative graft turning and Re-DMEK rate could be significantly reduced by the use of a peripheral mark (
p
= 0.002,
p
= 0.001, respectively). Re-DMEK due to primary graft failure was significantly associated with prior graft turning (
p
|
| doi_str_mv | 10.1007/s10792-021-02091-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2591209728</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2648321270</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-9515f9d4b60597ae3b216bdeed481cfc37e41b1a3b43cada63d2ed6b17269b0d3</originalsourceid><addsrcrecordid>eNp9kMlOwzAQhi0EoqXwAhyQJS5cAl4SOz6iUhZRhITgbNnJpKRkKXZy6NtjmrKIAwdrLM03_4w-hI4pOaeEyAtPiVQsIoyGRxSN5A4a00TyiAlOdn_9R-jA-yUhREkl9tGIx5KmipExeppWZVNmpsIOfF91HpuiA4d92SwqwMav6xo6tyH8q3FvuCgbXLQOL1wgcetKaDrTlW2DQ-PqYXZ_iPYKU3k42tYJermePU9vo_njzd30ch5lXCZdpBKaFCqPrSCJkga4ZVTYHCCPU5oVAYKYWmq4jXlmciN4ziAXlkomlCU5n6CzIXfl2vcefKfr0mdQVaaBtveaJYoGLZKlAT39gy7b3jXhOs1EnHJGmSSBYgOVudZ7B4VeubI2bq0p0Z_G9WBcB-N6Y1zLMHSyje5tDfn3yJfiAPAB8KHVLMD97P4n9gPDdotc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2648321270</pqid></control><display><type>article</type><title>Clinical results after single asymmetrical shark fin for graft orientation in DMEK</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Rickmann, Annekatrin ; Boden, Karl ; Trouvain, André M. ; Müller, Lisa J. ; Bocqué, Catheline ; Thaler, Sebastian ; Szurman, Peter</creator><creatorcontrib>Rickmann, Annekatrin ; Boden, Karl ; Trouvain, André M. ; Müller, Lisa J. ; Bocqué, Catheline ; Thaler, Sebastian ; Szurman, Peter</creatorcontrib><description>Purpose
Evaluating the effect of a single peripheral triangular mark to ensure the correct anterior–posterior graft orientation in DMEK.
Methods
Retrospective study of patients scheduled for DMEK due to Fuchs endothelial dystrophy and divided into 2 study groups: Group −M (
n
= 184) had no mark of the EDM (Endothelial Descemet membrane) and group + M (
n
= 193) had a triangular peripheral mark. Follow-up time was 1 year after surgery.
Results
The postoperative graft turning and Re-DMEK rate could be significantly reduced by the use of a peripheral mark (
p
= 0.002,
p
= 0.001, respectively). Re-DMEK due to primary graft failure was significantly associated with prior graft turning (
p
< 0.001). Both groups showed comparable values for visual acuity, central corneal thickness and endothelial cell count after a follow-up of 1 year.
Conclusion
Single peripheral triangular marking is a simple and cost-saving addition to EDM preparation to ensure the correct orientation of the graft intraoperatively and could lead to a significant reduction in graft turning and re-DMEK rate in this study.</description><identifier>ISSN: 1573-2630</identifier><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-021-02091-7</identifier><identifier>PMID: 34718920</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Acuity ; Animals ; Cell Count ; Cornea ; Descemet Membrane - surgery ; Descemet Stripping Endothelial Keratoplasty - methods ; Dissection ; Dystrophy ; Edema ; Endothelial cells ; Endothelium, Corneal ; Fuchs' Endothelial Dystrophy - surgery ; Graft rejection ; Grafting ; Grafts ; Hospitals ; Humans ; Medicine ; Medicine & Public Health ; Ophthalmology ; Orientation ; Orientation behavior ; Original Paper ; Retrospective Studies ; Sharks ; Surgeons ; Surgery ; Visual acuity</subject><ispartof>International ophthalmology, 2022-04, Vol.42 (4), p.1061-1068</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Nature B.V.</rights><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-9515f9d4b60597ae3b216bdeed481cfc37e41b1a3b43cada63d2ed6b17269b0d3</citedby><cites>FETCH-LOGICAL-c375t-9515f9d4b60597ae3b216bdeed481cfc37e41b1a3b43cada63d2ed6b17269b0d3</cites><orcidid>0000-0003-1651-5714</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10792-021-02091-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10792-021-02091-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34718920$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rickmann, Annekatrin</creatorcontrib><creatorcontrib>Boden, Karl</creatorcontrib><creatorcontrib>Trouvain, André M.</creatorcontrib><creatorcontrib>Müller, Lisa J.</creatorcontrib><creatorcontrib>Bocqué, Catheline</creatorcontrib><creatorcontrib>Thaler, Sebastian</creatorcontrib><creatorcontrib>Szurman, Peter</creatorcontrib><title>Clinical results after single asymmetrical shark fin for graft orientation in DMEK</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Purpose
Evaluating the effect of a single peripheral triangular mark to ensure the correct anterior–posterior graft orientation in DMEK.
Methods
Retrospective study of patients scheduled for DMEK due to Fuchs endothelial dystrophy and divided into 2 study groups: Group −M (
n
= 184) had no mark of the EDM (Endothelial Descemet membrane) and group + M (
n
= 193) had a triangular peripheral mark. Follow-up time was 1 year after surgery.
Results
The postoperative graft turning and Re-DMEK rate could be significantly reduced by the use of a peripheral mark (
p
= 0.002,
p
= 0.001, respectively). Re-DMEK due to primary graft failure was significantly associated with prior graft turning (
p
< 0.001). Both groups showed comparable values for visual acuity, central corneal thickness and endothelial cell count after a follow-up of 1 year.
Conclusion
Single peripheral triangular marking is a simple and cost-saving addition to EDM preparation to ensure the correct orientation of the graft intraoperatively and could lead to a significant reduction in graft turning and re-DMEK rate in this study.</description><subject>Acuity</subject><subject>Animals</subject><subject>Cell Count</subject><subject>Cornea</subject><subject>Descemet Membrane - surgery</subject><subject>Descemet Stripping Endothelial Keratoplasty - methods</subject><subject>Dissection</subject><subject>Dystrophy</subject><subject>Edema</subject><subject>Endothelial cells</subject><subject>Endothelium, Corneal</subject><subject>Fuchs' Endothelial Dystrophy - surgery</subject><subject>Graft rejection</subject><subject>Grafting</subject><subject>Grafts</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Orientation</subject><subject>Orientation behavior</subject><subject>Original Paper</subject><subject>Retrospective Studies</subject><subject>Sharks</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Visual acuity</subject><issn>1573-2630</issn><issn>0165-5701</issn><issn>1573-2630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kMlOwzAQhi0EoqXwAhyQJS5cAl4SOz6iUhZRhITgbNnJpKRkKXZy6NtjmrKIAwdrLM03_4w-hI4pOaeEyAtPiVQsIoyGRxSN5A4a00TyiAlOdn_9R-jA-yUhREkl9tGIx5KmipExeppWZVNmpsIOfF91HpuiA4d92SwqwMav6xo6tyH8q3FvuCgbXLQOL1wgcetKaDrTlW2DQ-PqYXZ_iPYKU3k42tYJermePU9vo_njzd30ch5lXCZdpBKaFCqPrSCJkga4ZVTYHCCPU5oVAYKYWmq4jXlmciN4ziAXlkomlCU5n6CzIXfl2vcefKfr0mdQVaaBtveaJYoGLZKlAT39gy7b3jXhOs1EnHJGmSSBYgOVudZ7B4VeubI2bq0p0Z_G9WBcB-N6Y1zLMHSyje5tDfn3yJfiAPAB8KHVLMD97P4n9gPDdotc</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Rickmann, Annekatrin</creator><creator>Boden, Karl</creator><creator>Trouvain, André M.</creator><creator>Müller, Lisa J.</creator><creator>Bocqué, Catheline</creator><creator>Thaler, Sebastian</creator><creator>Szurman, Peter</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1651-5714</orcidid></search><sort><creationdate>20220401</creationdate><title>Clinical results after single asymmetrical shark fin for graft orientation in DMEK</title><author>Rickmann, Annekatrin ; Boden, Karl ; Trouvain, André M. ; Müller, Lisa J. ; Bocqué, Catheline ; Thaler, Sebastian ; Szurman, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-9515f9d4b60597ae3b216bdeed481cfc37e41b1a3b43cada63d2ed6b17269b0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acuity</topic><topic>Animals</topic><topic>Cell Count</topic><topic>Cornea</topic><topic>Descemet Membrane - surgery</topic><topic>Descemet Stripping Endothelial Keratoplasty - methods</topic><topic>Dissection</topic><topic>Dystrophy</topic><topic>Edema</topic><topic>Endothelial cells</topic><topic>Endothelium, Corneal</topic><topic>Fuchs' Endothelial Dystrophy - surgery</topic><topic>Graft rejection</topic><topic>Grafting</topic><topic>Grafts</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Orientation</topic><topic>Orientation behavior</topic><topic>Original Paper</topic><topic>Retrospective Studies</topic><topic>Sharks</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Visual acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rickmann, Annekatrin</creatorcontrib><creatorcontrib>Boden, Karl</creatorcontrib><creatorcontrib>Trouvain, André M.</creatorcontrib><creatorcontrib>Müller, Lisa J.</creatorcontrib><creatorcontrib>Bocqué, Catheline</creatorcontrib><creatorcontrib>Thaler, Sebastian</creatorcontrib><creatorcontrib>Szurman, Peter</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rickmann, Annekatrin</au><au>Boden, Karl</au><au>Trouvain, André M.</au><au>Müller, Lisa J.</au><au>Bocqué, Catheline</au><au>Thaler, Sebastian</au><au>Szurman, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical results after single asymmetrical shark fin for graft orientation in DMEK</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2022-04-01</date><risdate>2022</risdate><volume>42</volume><issue>4</issue><spage>1061</spage><epage>1068</epage><pages>1061-1068</pages><issn>1573-2630</issn><issn>0165-5701</issn><eissn>1573-2630</eissn><abstract>Purpose
Evaluating the effect of a single peripheral triangular mark to ensure the correct anterior–posterior graft orientation in DMEK.
Methods
Retrospective study of patients scheduled for DMEK due to Fuchs endothelial dystrophy and divided into 2 study groups: Group −M (
n
= 184) had no mark of the EDM (Endothelial Descemet membrane) and group + M (
n
= 193) had a triangular peripheral mark. Follow-up time was 1 year after surgery.
Results
The postoperative graft turning and Re-DMEK rate could be significantly reduced by the use of a peripheral mark (
p
= 0.002,
p
= 0.001, respectively). Re-DMEK due to primary graft failure was significantly associated with prior graft turning (
p
< 0.001). Both groups showed comparable values for visual acuity, central corneal thickness and endothelial cell count after a follow-up of 1 year.
Conclusion
Single peripheral triangular marking is a simple and cost-saving addition to EDM preparation to ensure the correct orientation of the graft intraoperatively and could lead to a significant reduction in graft turning and re-DMEK rate in this study.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>34718920</pmid><doi>10.1007/s10792-021-02091-7</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1651-5714</orcidid></addata></record> |
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| ispartof | International ophthalmology, 2022-04, Vol.42 (4), p.1061-1068 |
| issn | 1573-2630 0165-5701 1573-2630 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Acuity Animals Cell Count Cornea Descemet Membrane - surgery Descemet Stripping Endothelial Keratoplasty - methods Dissection Dystrophy Edema Endothelial cells Endothelium, Corneal Fuchs' Endothelial Dystrophy - surgery Graft rejection Grafting Grafts Hospitals Humans Medicine Medicine & Public Health Ophthalmology Orientation Orientation behavior Original Paper Retrospective Studies Sharks Surgeons Surgery Visual acuity |
| title | Clinical results after single asymmetrical shark fin for graft orientation in DMEK |
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