ArticleInternational ophthalmology2022
Clinical results after single asymmetrical shark fin for graft orientation in DMEK.
Article in International ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 7 citations in OpenAlex.
- Predictors of graft survival after descemet membrane endothelial keratoplasty in eyes with severe corneal edema.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Treatment Outcomes of Upside-Down Descemet Membrane Endothelial Keratoplasty.Journal of clinical medicine · 2025Article
- Descemet membrane endothelial keratoplasty: Update on preoperative considerations, surgical techniques, and outcomes.Indian journal of ophthalmology · 2022Review
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEvaluating the effect of a single peripheral triangular mark to ensure the correct anterior-posterior graft orientation in DMEK.
methodsRetrospective 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.
resultsThe 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.
conclusionSingle 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.
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