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REVIEW ARTICLE
Year : 2015  |  Volume : 10  |  Issue : 4  |  Page : 461-468

Descemet's stripping automated endothelial keratoplasty tissue insertion devices


1 Department of Mechanical Engineering, The University of Texas at Arlington, Arlington, TX, USA
2 Department of Ophthalmology, UT Sowthwestern Medical Center, Dallas, TX, USA

Correspondence Address:
Salman Nasir Khan
Box 19023, 500 W, First St. 204, Woolf Hall, Arlington, TX
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2008-322X.176899

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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.


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