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Review
. 2015 Oct-Dec;10(4):461-8.
doi: 10.4103/2008-322X.176899.

Descemet's Stripping Automated Endothelial Keratoplasty Tissue Insertion Devices

Salman Nasir Khan  1 , Panos S Shiakolas  1 , Venkateswara Vinod Mootha  2
Affiliations
Review

Descemet's Stripping Automated Endothelial Keratoplasty Tissue Insertion Devices

Salman Nasir Khan et al. J Ophthalmic Vis Res. 2015 Oct-Dec.

Abstract

This review study provides information regarding the construction, design, and use of six commercially available endothelial allograft insertion devices applied for Descemet's stripping automated endothelial keratoplasty (DSAEK). We also highlight issues being faced in DSAEK and discuss the methods through which medical devices such as corneal inserters may alleviate these issues. Inserter selection is of high importance in the DSAEK procedure since overcoming the learning curve associated with the use of an insertion device is a time and energy consuming process. In the present review, allograft insertion devices were compared in terms of design, construction material, insertion technique, dimensions, incision requirements and endothelial cell loss to show their relative merits and capabilities based on available data in the literature. Moreover, the advantages/disadvantages of various insertion devices used for allograft insertion in DSAEK are reviewed and compared. The information presented in this review can be utilized for better selection of an insertion device for DSAEK.

Keywords: Allograft Inserter; Allograft Insertion Device; Corneal Injectors; Descemet's Stripping Automated Endothelial Keratoplasty; Descemet's Stripping Endothelial Keratoplasty.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Busin glide inserter.
Figure 2
Figure 2
Macaluso endothelial inserter.[46]
Figure 3
Figure 3
(a) Tan endoglide (b) Double coil.
Figure 4
Figure 4
Neusidl injector.
Figure 5
Figure 5
Endoinjector.
Figure 6
Figure 6
Endoserter.
See this image and copyright information in PMC

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