{"id":1037,"date":"2015-03-05T09:22:38","date_gmt":"2015-03-05T09:22:38","guid":{"rendered":"http:\/\/library.sath.nhs.uk\/intelligence\/?p=1037"},"modified":"2016-10-31T13:25:53","modified_gmt":"2016-10-31T13:25:53","slug":"descemets-membrane-endothelial-keratoplasty-dmek-first-uk-prospective-study-of-1-year-visual-outcomes-graft-survival-and-endothelial-cell-count-2015","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2015\/03\/05\/descemets-membrane-endothelial-keratoplasty-dmek-first-uk-prospective-study-of-1-year-visual-outcomes-graft-survival-and-endothelial-cell-count-2015\/","title":{"rendered":"Descemet's membrane endothelial keratoplasty (DMEK): first UK prospective study of 1-year visual outcomes, graft survival and endothelial cell count  (2015)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nJournal article<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Robert A Reid, *Ewan A Craig, *Hanif Suleman<\/p>\n<p><strong>Citation:<\/strong><br \/>\nBritish Journal of Ophthalmology, February 2015, vol.\/is. 99\/2(166-169), 0007-1161;1468-2079 (01 Feb 2015)<\/p>\n<p><strong>Abstract:<\/strong><\/p>\n<p>Aim: To evaluate the clinical outcomes of Descemet\u2019s membrane endothelial keratoplasty (DMEK) in the treatment of patients with Fuchs\u2019 endothelial dystrophy.<\/p>\n<p>Methods: This prospective study involved 16 consecutive patients who had DMEK done and who were evaluated over a year. Measurements included best corrected visual acuity (BCVA), endothelial cell count, and central corneal thickness.<\/p>\n<p>Results: Two patients had failed grafts. Of the remaining 14 patients with successful grafts, after 12\u2005months, 79% had BCVA of 6\/6 or better, and all patients had a BCVA of 6\/9 or better. Median endothelial cell count was 1567 cells per mm2 (range=900\u20132359) representing a 40% reduction compared with preoperative counts. Median central corneal thickness was 498\u2005\u00b5m (range 445\u2013567\u2005\u00b5m) compared with a median of 649\u2005\u00b5m (range 548\u2013740\u2005\u00b5m) preoperatively. All patients attained total visual rehabilitation without further surgical intervention.<\/p>\n<p>Conclusions: In our experience, DMEK has the potential to become the primary procedure for treating Fuchs\u2019 endothelial dystrophy and endothelial disease as it produces rapid total visual rehabilitation with few complications, and an easy follow-up and management regimen. Donor preparation and graft insertion, however, remain important challenges.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Journal article Author(s): *Robert A Reid, *Ewan A Craig, *Hanif Suleman Citation: British Journal of Ophthalmology, February 2015, vol.\/is. 99\/2(166-169), 0007-1161;1468-2079 (01 Feb 2015) Abstract: Aim: To evaluate the clinical outcomes of Descemet\u2019s membrane endothelial keratoplasty (DMEK)<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2015\/03\/05\/descemets-membrane-endothelial-keratoplasty-dmek-first-uk-prospective-study-of-1-year-visual-outcomes-graft-survival-and-endothelial-cell-count-2015\/\">Read more <span class=\"screen-reader-text\">Descemet's membrane endothelial keratoplasty (DMEK): first UK prospective study of 1-year visual outcomes, graft survival and endothelial cell count  (2015)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[569,343,342],"class_list":["post-1037","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-569","tag-dmek","tag-ophthalmology"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/1037","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=1037"}],"version-history":[{"count":3,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/1037\/revisions"}],"predecessor-version":[{"id":3679,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/1037\/revisions\/3679"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=1037"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=1037"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=1037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}