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The Official Scientific Journal of Delhi Ophthalmological Society
Documenting Visual Outcome of Descemet`s Stripping Endothelial Keratoplasty in A Tertiary Care Setting From Gujarat
*Ami Tank, **Falguni Mehta, *Deepika Singhal, ***Anand Shah, *Shivani Acharya
*Department of Ophthalmology, Gujarat Medical Education & Research Society, Ahmedabad, Gujarat
**Department of Ophthalmology, Rotary Eye Institute, Navsari, Gujarat
***Department of Community Oncology, The Gujarat Cancer & Research Institute, Ahmedabad, Gujarat

Corresponding Author:
Ami Tank DNB
Resident, 
Department of Ophthalmology, 
Gujarat Medical Education & Research Society, 
Ahemdabad, Gujarat, India
Email Id: ameexyz@gmail.com 
Received: 21-AUG-2017 Accepted: 30-NOV-2017 Published Online: 01-MAR-2018
DOI: http://dx.doi.org/10.7869/djo.328
Abstract
Background:- One of the available treatments of corneal blindness is Keratoplasty. Although there are various techniques practiced by corneal surgeons; Descemet`s stripping endothelial keratoplasty (DSEK) with its technical advantages and manageable complications is rapidly becoming the preferred treatment for corneal endothelial dysfunction. The present study evaluates outcomes of DSEK in terms of its efficacy (visual acuity and refractive outcome).

Objective:- To document Visual Outcomes Post Descemet Stripping Endothelial Keratoplasty (DSEK) amongst patients with endothelial dysfunction.

Materials and Methods:- DSEK as a part of treatment was performed on 50 eyes of 50 subjects with endothelial pathology at a tertiary eye care institute in Gujarat. The subjects were enrolled based on pre fixed inclusion criteria and the results were evaluated in terms of Visual acuity Pre and Post DSEK surgery. Post DSEK surgery, the subjects were followed serially as the operating surgeon was the same in all the DSEK patients. 

Results:- The mean age of the study population was 63.90 ± 16.32 years. Majority were males (66%). The difference between mean pre-operative BCVA (1.6 + 1.0) and 1 week follow up (1.13 + 1.01), 1 month follow up (0.7 + 1.0), 6 month follow up (0.65 + 1.1) was statistically significant with p value < 0.01. 

Conclusion:- After DSEK surgery, a significant improvement in post-operative visual acuity was documented at each follow up. No significant change in spherical and cylindrical refractive errors was noted. 
Keywords : DESK, PBK, Visual Acuity
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