The Royal Victorian Eye and Ear Hospital (RVEEH) technique of DSAEK Triple

Abstract

Abstract Purpose Descemet stripping endothelial keratoplasty, together with cataract surgery, constitutes the DSAEK triple procedure. This remains an evolving technique, with new modifications continuing to simplify the technique and improve its reproducibility. Methods At the Royal Victorian Eye and Ear Hospital (RVEEH), we have developed a sutureless technique of DSAEK triple using a glide to insert the donor lenticule. This procedure was performed in 4 eyes of 4 patients with Fuchs’ endothelial dystrophy and cataract. Results All surgeries could be performed successfully. No intraoperative complications were encountered in any of the cases. At mean follow up of 3 months, all grafts were attached, clear, and well‐centered, with mean BCVA ≥6/18. There were no instances of graft dislocation or failure. Conclusion The RVEEH technique of Sutureless DSAEK Triple procedure is effective, successful and easy to perform. The use of a glide eliminates the need for folding of the tissue and allows atraumatic transplantation of the donor lenticule.