Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Thickness Measurements of Donor Posterior Disks After Descemet Stripping Endothelial Keratoplasty With Anterior Segment Optical Coherence Tomography

Nieuwendaal, Carla P MD; van Velthoven, Mirjam E J MD, PhD; Biallosterski, Carine MD; van der Meulen, Ivanka J E MD; Lapid-Gortzak, Ruth MD; Melles, Gerrit R J MD, PhD; Verbraak, Frank D MD, PhD

doi: 10.1097/ICO.0b013e318189135f
Clinical Science

Purpose: To evaluate donor posterior disk thickness measured with anterior segment optical coherence tomography after Descemet stripping endothelial keratoplasty.

Methods: Fifteen patients (17 eyes) after Descemet stripping endothelial keratoplasty, using manually dissected donor posterior disks, were measured with the Visante anterior segment optical coherence tomography (Carl Zeiss Meditec Inc, Dublin, CA). Optical coherence tomography scans were made in a radial pattern, 45 degrees apart, starting in the horizontal axis. Thickness measurements of the donor posterior disks were taken centrally and at fixed radii toward the periphery and were correlated to postoperative change in spherical equivalent (SE), best-corrected visual acuity (BCVA, in Snellen), and improvement in BCVA.

Results: Median BCVA was 20/30 (range 20/60-20/20) postoperatively. Median postoperative improvement in BCVA was 4 lines (range 1-11). Median follow-up time was 15.5 months (range 6-32 months). Median postoperative change in SE was −0.25 diopters (range −4.25 to +3.00 diopters). Median central disk thickness was 128.3 μm (range 55-181 μm) and increased significantly toward the periphery: median disk thickness at the 1.5 mm radius was 140.8 μm (range 72-199 μm) and at the 3.0 mm radius was 161.5 μm (range 102-245 μm). No correlation was found between (central) donor disk thickness and postoperative BCVA or change in SE. A nonstatistically significant trend was seen toward more improvement in BCVA with thinner donor disks.

Conclusions: Optical coherence tomography measurements of the manually dissected donor posterior disk showed significant variation in thickness, without a statistically significant effect on postoperative BCVA or improvement thereof. Central thickness varied significantly from the peripheral thickness within donor posterior disk.

From the *Department of Ophthalmology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; †Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands; and ‡Laser Centre, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Received for publication November 26, 2007. revision received July 17, 2008; accepted August 4, 2008.

Reprints: Carla P. Nieuwendaal, Department of Ophthalmology, Academic Medical Center, Room A2-123.1, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands (e-mail:

Copyright © 2009 Wolters Kluwer Health, Inc. All rights reserved.