Complications in endothelial keratoplasty performed by cornea fellows

To report early complications in endothelial keratoplasty performed by cornea fellows. Retrospective study of endothelial keratoplasty performed by second-year cornea fellows. Described the early complications and its treatments. Thirty four endothelial keratoplasty were performed by cornea fellows,...

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Published in:Arquivos brasileiros de oftalmologia 2013-10, Vol.76 (5), p.301-304
Main Authors: Pereira, Nicolas Cesário, Araújo, Mônica, Pinto, Natércia Trindade, Moreira, Pedro Bertino, Rocha, Guilherme Andrade do Nascimento, Moura, Gustavo Souza, Sousa, Luciene Barbosa de
Format: Article
Language:Portuguese
Subjects:
Descemet Stripping Endothelial Keratoplasty - adverse effects
Endothelium, Corneal - surgery
Fuchs' Endothelial Dystrophy - etiology
Glaucoma - etiology
Humans
Learning Curve
Lens Implantation, Intraocular - methods
Phacoemulsification - methods
Postoperative Complications - epidemiology
Pupil Disorders - etiology
Refractive Surgical Procedures - methods
Retrospective Studies
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Summary:To report early complications in endothelial keratoplasty performed by cornea fellows. Retrospective study of endothelial keratoplasty performed by second-year cornea fellows. Described the early complications and its treatments. Thirty four endothelial keratoplasty were performed by cornea fellows, from July 2007 to August 2008. From this, 29 were Descemet stripping endothelial keratoplasty and 5 Descemet stripping automated endothelial keratoplasty; 14 combined with phacoemulsification and 1 with extracapsular cataract surgery. The main indication was Fuchs' dystrophy (18 cases), followed by bullous keratopathy (11 cases), primary failure after endothelial keratoplasty (4 cases) and congenital hereditary endothelial dystrophy (1 case). Main surgery complication was donor button detachment in 8 eyes (23.5%), followed by primary graft failure in 7 eyes (20.6%) and acute glaucoma after pupillary block in 1 eye (2.9%). The complication rate in this series, which were the first ever in a group of six cornea fellows, was high. This shows the steep learning curve for this surgical procedure. The assistance of an experienced surgeon could help to achieve a less steep learning curve with a lower complication rate.
ISSN:1678-2925
DOI:10.1590/S0004-27492013000500010