A study to demonstrate importance of eye bank specular microscope to improve donor corneal tissue utilization
Journal Title: Medpulse International Journal of Ophthalmology - Year 2019, Vol 9, Issue 3
Abstract
Aims: Evaluation of donor cornea by gross and slit lamp examination and by eye bank specular microscope and compare utilization based on findings. Material and Methods: Ours was a prospective study of 30 donor corneas which were evaluated by slit lamp biomicroscopy and after preservation in MK media, evaluated using eye bank specular microscope. Final decision of transplantation was made on grading of specular microscopy. We have analyzed whether eye bank specular usage can improve utilization of available tissue or not. Results: With slit lamp examination grading of donor tissue, excellent tissue was seen in 13.33%, 16.67%, 3.33% in age group of <20 years, 20-40 years and 40-60 years respectively while none of the tissue of 60-80 years show excellent grading. According to endothelial cell count by specular microscope, count of > 3000 cells/mm2 was seen in 16.66%, 36.67%,6.67%, 6.66% in age group of <20 years, 20-40 years, 40-60 years and 60-80 years. In tissues having death to preservation interval less than 8 hours, mean CD was 3335.5 cells/mm2 while tissues having DTPT more than 8 hours, mean CD was 2632.7 cells/mm2. Conclusions: With the use of eyebank specular analyzer, we can evaluate donor tissue thoroughly thus improving untilization of available tissue as well as improve outcome of keratoplasty
Authors and Affiliations
Kundan R Malhotra, Gunjan P Tank, Aravind Rajendran, Parthkumar dineshchandra Suthar
Keywords
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- EP ID EP536292
- DOI 10.26611/10099233
- Views 93
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