ArticleJapanese journal of ophthalmology2015
Effects of corneal irregular astigmatism on visual acuity after conventional and femtosecond laser-assisted Descemet's stripping automated endothelial keratoplasty.
Article in Japanese journal of ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 26 citations in OpenAlex.
- Current concepts and recent trends in endothelial keratoplasty.World journal of transplantation · 2025Review
- Corneal higher-order aberrations in corneal endothelial decompensation secondary to obstetric forceps injury.Scientific reports · 2023Article
- SMILE after DALK to reduce residual refraction: two-year results.International ophthalmology · 2022Article
- Corneal irregularity and visual function using anterior segment optical coherence tomography in TGFBI corneal dystrophy.Scientific reports · 2022Article
- Corneal higher-order aberrations in phlyctenular keratitis.Japanese journal of ophthalmology · 2020Article
- Comparison of Artificial Anterior Chamber Internal Pressures and Cutting Systems for Descemet's Stripping Automated Endothelial Keratoplasty.Translational vision science & technology · 2018Article
- Lamellar keratoplasty techniques.Indian journal of ophthalmology · 2018Review
- Comparison of four methods of surface roughness assessment of corneal stromal bed after lamellar cutting.Biomedical optics express · 2017Article
- Corneal Higher Order Aberrations in Granular, Lattice and Macular Corneal Dystrophies.PloS one · 2016Article
- Advantages of femtosecond laser in various corneal transplantation procedures: A narrative literature review.Taiwan journal of ophthalmologyReview
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare short-term outcomes of Descemet's stripping automated endothelial keratoplasty (DSAEK) using a graft prepared with either a femtosecond laser or a microkeratome.
methodsThirty-eight patients underwent DSAEK with grafts prepared with either a femtosecond laser (f-DSAEK; 21 eyes) or a microkeratome (m-DSAEK; 17 eyes). Visual acuity, endothelial cell density, regular astigmatism and irregular astigmatism were compared between the two groups preoperatively and at 1, 3, and 6 months post-operatively. Fourier analysis was conducted to calculate astigmatism of the anterior and posterior surfaces, and total cornea, using anterior segment optical coherence tomography (AS-OCT).
resultsVisual acuity (logMAR) improved from 1.20 ± 0.60 to 0.43 ± 0.25 after m-DSAEK (P < 0.001) and from 1.20 ± 0.57 to 0.77 ± 0.33 after f-DSAEK (P = 0.0028) at 6 months following DSAEK. Visual acuity after m-DSAEK was significantly better than after f-DSAEK at 1, 3, and 6 months (P < 0.05). AS-OCT corneal images revealed greater irregularities on the posterior surfaces of f-DSAEK grafts compared to m-DSAEK grafts. Irregular astigmatism of the total cornea and the posterior surface was significantly larger after f-DSAEK than after m-DSAEK, although there was no significant difference in irregular astigmatism of the anterior surface at 6 months. Postoperative visual acuity was significantly correlated with the postoperative irregular astigmatism of the total cornea (r = 0.6657 and P < 0.001) and the anterior (r = 0.416, P = 0.016) and posterior surfaces (r = 0.7046, P < 0.001).
conclusionsVisual outcomes after f-DSAEK were poor compared to conventional m-DSAEK due to an increase in irregular astigmatism caused by posterior surface irregularities.
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