Original Article

Descemet Stripping Automated Endothelial Keratoplasty for Treatment of Pseudophakic Bullous Keratopathy


  • Banu Torun Acar
  • Selin Tugtan
  • Suphi Acar

Received Date: 25.01.2012 Accepted Date: 08.05.2012 Turk J Ophthalmol 2012;42(4):263-268


To evaluate the results and complications of Descemet stripping automated endothelial keratoplasty (DSAEK) in the treatment of pseudophakic bullous keratopathy (PBK).

Ma­te­ri­al and Met­hod:

Twenty eyes of 20 patients who underwent DSAEK with a diagnosis of PBK in our clinic between September 2010-January 2012 were included in this study. Pre- and postoperative best-corrected visual acuity (BCVA), refraction values, endothelial cell density, and graft position were analyzed. Complications and treatments were recorded.


The mean age of the 20 patients (11female, 9 male) was 71.44±7.55 years (range: 56-83 years) and the mean follow-up time was 11.35±3.90 months (range: 3-16 months). Preoperative mean BCVA was 0.04±0.044 and 12-month BCVA was 0.55±0.22 (p=0.001). Mean endothelial cell density was 1508.42±254.82 cell/mm² at 12-month follow-up visit. Dislocation of graft lenticule occurred in five patients and graft failure occurred in one patient.


DSAEK, due to the more rapid rehabilitation, is an alternative to penetrating keratoplasty in the treatment of endothelial diseases despite the steep learning curve and different complications. (Turk J Ophthalmol 2012; 42: 263-68)

Keywords: Descemet’s membrane, endothelial keratoplasty, pseudophakic bullous keratopathy

Full Text (Turkish)