Assessing the Learning Curve for DMEK Using Post-Procedural Clinical Outcomes-Comparison of Four Different Surgeons during Two Different Periods.
DMEK
Fuchs’ endothelial corneal dystrophy
corneal surgery
lamellar keratoplasty
surgical learning curve
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
19 Jan 2023
19 Jan 2023
Historique:
received:
25
11
2022
revised:
11
01
2023
accepted:
18
01
2023
entrez:
11
2
2023
pubmed:
12
2
2023
medline:
12
2
2023
Statut:
epublish
Résumé
Evaluating the learning curve of individual surgeons for Descemet Membrane Endothelial Keratoplasty (DMEK) and Triple-DMEK and assessing outcome with experience. The first 41 and the last 41 surgeries of each of the four surgeons were retrospectively included. Surgery duration and graft preparation time were recorded. Corrected distance visual acuity (CDVA, logMAR) and central corneal thickness (CCT, µm) were collected preoperatively after 6 and 12 months, as well as postoperative complications, e.g., re-bubbling or repeat penetrating keratoplasty. Surgical duration for Triple-DMEK and DMEK decreased significantly by 21 min and 14 min between the two periods ( Significant decrease in surgery duration, graft preparation time, and the re-bubbling rate can be attributed to gained individual experience.
Identifiants
pubmed: 36769458
pii: jcm12030811
doi: 10.3390/jcm12030811
pmc: PMC9917538
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
Cornea. 2006 Sep;25(8):987-90
pubmed: 17102683
Ophthalmology. 2011 Nov;118(11):2147-54
pubmed: 21777980
Clin Ophthalmol. 2019 Jun 21;13:1055-1061
pubmed: 31417236
Ophthalmology. 2012 Mar;119(3):536-40
pubmed: 22218143
Cornea. 2017 Jan;36(1):1-6
pubmed: 27811564
Ophthalmology. 2015 Mar;122(3):464-70
pubmed: 25439596
Ophthalmologe. 2020 Aug;117(8):811-828
pubmed: 32561987
Cornea. 2017 Dec;36(12):1467-1476
pubmed: 28957979
Am J Ophthalmol. 2020 Apr;212:79-87
pubmed: 31863726
Ophthalmology. 2017 Apr;124(4):512-518
pubmed: 28094043
Br J Ophthalmol. 2015 Jan;99(1):98-102
pubmed: 25138759
Clin Anat. 2018 Jan;31(1):16-27
pubmed: 28509328
PLoS One. 2014 Nov 11;9(11):e112696
pubmed: 25386909
Cornea. 2017 Mar;36(3):275-279
pubmed: 27918355
Am J Ophthalmol. 2015 Jan;159(1):155-9.e1
pubmed: 25448318
Eye (Lond). 2015 Mar;29(3):327-32
pubmed: 25412715
Ophthalmology. 2019 Jan;126(1):19-26
pubmed: 29945801
J Ophthalmol. 2021 Aug 17;2021:1819454
pubmed: 34447591
Klin Monbl Augenheilkd. 2013 May;230(5):494-9
pubmed: 23446757
Am J Ophthalmol. 2018 Apr;188:91-98
pubmed: 29410297
Ophthalmology. 2018 Feb;125(2):295-310
pubmed: 28923499
Cornea. 2018 Mar;37(3):277-282
pubmed: 29298168
Cornea. 2020 Mar;39(3):290-297
pubmed: 31478948
Cornea. 2015 Aug;34(8):845-52
pubmed: 26075461
Klin Monbl Augenheilkd. 2017 Nov;234(11):1354-1361
pubmed: 28759902
Am J Ophthalmol. 2018 Jun;190:171-178
pubmed: 29621512
Cornea. 2011 May;30(5):580-7
pubmed: 21598430
Am J Ophthalmol. 2010 Jun;149(6):922-925.e2
pubmed: 20346440
Am J Ophthalmol. 2021 Feb;222:218-225
pubmed: 32621899
Acta Ophthalmol. 2020 Feb;98(1):74-79
pubmed: 31161732
Am J Ophthalmol. 2016 Sep;169:218-226
pubmed: 27423793
Cornea. 2020 May;39(5):590-593
pubmed: 31724984
Ophthalmologe. 2016 Mar;113(3):213-6
pubmed: 26857142
Cornea. 2019 Jul;38(7):806-811
pubmed: 31033696