Documenting Visual Outcome of Descemet`s Stripping Endothelial Keratoplasty in A Tertiary Care Setting From Gujarat

Abstract

Background:- One of the available treatments of corneal blindness is Keratoplasty. Although there are various techniques practiced by corneal surgeons; Descemet`s stripping endothelial keratoplasty (DSEK) with its technical advantages and manageable complications is rapidly becoming the preferred treatment for corneal endothelial dysfunction. The present study evaluates outcomes of DSEK in terms of its efficacy (visual acuity and refractive outcome). Objective:- To document Visual Outcomes Post Descemet Stripping Endothelial Keratoplasty (DSEK) amongst patients with endothelial dysfunction. Materials and Methods:- DSEK as a part of treatment was performed on 50 eyes of 50 subjects with endothelial pathology at a tertiary eye care institute in Gujarat. The subjects were enrolled based on pre fixed inclusion criteria and the results were evaluated in terms of Visual acuity Pre and Post DSEK surgery. Post DSEK surgery, the subjects were followed serially as the operating surgeon was the same in all the DSEK patients. Results:- The mean age of the study population was 63.90 ± 16.32 years. Majority were males (66%). The difference between mean pre-operative BCVA (1.6 + 1.0) and 1 week follow up (1.13 + 1.01), 1 month follow up (0.7 + 1.0), 6 month follow up (0.65 + 1.1) was statistically significant with p value < 0.01. Conclusion:- After DSEK surgery, a significant improvement in post-operative visual acuity was documented at each follow up. No significant change in spherical and cylindrical refractive errors was noted. Abstract cells per mm 2 — have been lowered in India to at least 2,000 cells per mm 2 . 4 the present study, we have evaluate the outcomes of DSEK in terms of its efficacy (visual acuity and refractive outcome).