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Abstract #73338 Published in IGR 18-4
Chandelier Illumination for Descemet Membrane Endothelial Keratoplasty
Shimizu T; Hayashi T; Yuda K; Tsuchiya A; Oyakawa I; Mizuki N; Kato NCornea 2017; 36: 1155-1157
PURPOSE: To describe a simple technique that uses posterior chandelier illumination during Descemet membrane endothelial keratoplasty in cases of severe bullous keratopathy (BK). METHODS: Five eyes of 4 patients with advanced BK undergoing Descemet membrane endothelial keratoplasty were retrospectively analyzed. The pupil of the host eye was not treated with mydriatic or miotic agents. The chandelier illuminator was inserted transconjunctivally into the vitreous cavity from the pars plana. RESULTS: In all eyes, BK was secondary to laser iridotomy, which was performed for prevention or treatment of angle closure glaucoma. The implanted graft was clearly confirmed in the anterior chamber using activated chandelier illumination. The graft was immediately attached to the host cornea, with eventual healing of BK in all eyes. No complication involving insertion or removal of the 25-gauge trocar and the chandelier illuminator was observed. No vision-threatening complication was observed in any of the 5 eyes. CONCLUSIONS: The chandelier illuminator provided good visibility of the anterior chamber and enhanced the safety of surgery by preventing formation of an inverted graft.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
*Department of Ophthalmology, Yokohama Minami Kyosai Hospital, Kanagawa, Japan; †Department of Ophthalmology, Yokohama City University School of Medicine, Yokohama, Kanagawa, Japan; ‡Department of Ophthalmology, Heart Life Hospital, Okinawa, Japan; §Department of Ophthalmology, Ryukyu University, Okinawa, Japan; and ¶Department of Ophthalmology, Saitama Medical University, Saitama, Japan.
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