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In a series of 150 endothelial keratoplasties classified into 5 groups (DMEK; nanothin DSAEK, 15-49µm; ultrathin DSAEK, 50-99µm; thin DSAEK, 100-149µm; conventional DSAEK, 150-250µm) followed for 3 years, the mean spectacle-corrected LogMAR visual acuity improved from 0.76 (20/116) before surgery to 0.14 (20/27) at last follow-up visit. Grafts <50µm featured quick visual recovery whereas high order aberrations and final visual acuity were not influenced by graft thickness/regularity. Higher final vision improvement and post-operative HOAs were associated with poorer preoperative visual acuity. The main advantage of DMEK and nanothin DSAEK over thicker DSAEKs was the rapidity of visual recovery.
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This page is a summary of: Influence of graft thickness and regularity on vision recovery after endothelial keratoplasty, British Journal of Ophthalmology, December 2019, BMJ, DOI: 10.1136/bjophthalmol-2019-315180.
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