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Comparison of Graft Thickness Measured by an Eye Bank With Graft Thickness Measured After Descemet Stripping Automated Endothelial Keratoplasty

Feizi, Sepehr, MD, MSc*; Delfazayebaher, Siamak, MD*; Masoudi, Ali, MD; Babamohamadi, Zahra, MD*; Javadi, Mohammad Ali, MD*

doi: 10.1097/ICO.0000000000001855
Clinical Science

Purpose: To compare donor lenticule thickness reported by the eye bank with lenticule thickness measured at 6 months after Descemet stripping automated endothelial keratoplasty (DSAEK).

Methods: This prospective, interventional case series enrolled 30 eyes from 30 patients who underwent DSAEK using precut eye bank tissue. Preoperative thickness measurements of the donor lenticules were taken centrally and at pericentral and peripheral graft areas using an anterior segment optical coherence tomography system. The same measurements were repeated 6 months postoperatively. The preoperative and postoperative values were compared, and the relationships between these measurements were investigated using Pearson correlation coefficients.

Results: The mean donor age was 47.7 ± 10.7 years. The mean preoperative endothelial cell density was 3017 ± 361 cells/mm2, which decreased to 1645 ± 482 cells/mm2 postoperatively (P < 0.001). The graft thickness of the precut tissue, as reported by the eye bank, was 136.8 ± 24.9 μm at the center, 149.4 ± 27.3 μm at the pericentral area, and 198.4 ± 32.8 μm at the periphery. The corresponding postoperative values were 119.2 ± 29.8 μm (P = 0.004), 124.5 ± 34.6 μm (P = 0.002), and 156.3 ± 45.4 μm (P < 0.001), respectively. The graft thickness measured by the eye bank was significantly associated with that measured in vivo at 6 months at the central (r = 0.63, P = 0.001) and pericentral (r = 0.50, P = 0.009) graft areas. However, the correlation between preoperative and postoperative peripheral graft thickness was insignificant (P = 0.14).

Conclusion: Compared with preoperative values, central, pericentral, and peripheral graft thicknesses were reduced by 10.4%, 14.2%, and 18.4%, respectively, 6 months after DSAEK. Postoperative graft thinning was greater at the periphery compared with the central and pericentral areas.

*Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; and

Department of Ophthalmology, Urmia University of Medical Sciences, Urmia, Iran.

Correspondence: Sepehr Feizi, MD, MSc, Ophthalmic Research Center, Labbafinejad Medical Center, Boostan 9 St, Pasdaran Ave., Tehran 16666, Iran (e-mail:

The authors have no funding or conflicts of interest to disclose.

Received August 17, 2018

Accepted November 27, 2018

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