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CEUTA: DSAEK, NEW ALTERNATIVE IN CORNEA TRANSPLANT



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70 percent of patients with severe corneal damage can benefit from a new technology for corneal transplantation with endothelial cells. DSAEK technique improves vision, accelerated postoperative recovery and resistance remains against corneal trauma.

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Service Ophthalmology Hospital Reina Sofía de Murcia , apply a new technique for corneal transplantation with endothelial cells (DSAEK) indicated for 70 percent of patients with severe corneal damage (at 30 percent is required conventional entire cornea transplant).

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The benefits of the new technique are derived from the procedure itself, since it is not necessary to transplant the entire cornea to replace the damaged endothelial cells by the sound of a dead donor. The results are overwhelming compared to the classical intervention in patients who have injured only a thin layer of cells located in the back of the cornea, which occurs in seven out of ten injuries requiring transplantation. To recover you replace only 10 microns of tissue, compared with 550 microns of thickness of the cornea.

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Drs Gutierrez and Amanda Ramon Ortiz , Ophthalmology Service, Hospital General Universitario Reina Sofía apply this type of transplant regularly since 2007 and have conducted more than 38 interventions, of which 29 have been carried out in the hospital Murcia.

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The technical DSAEK notable improvements over traditional transplants (which will be used in other corneal injuries) recovered an average view of 85 percent, compared with 45 percent of conventional transplant; postoperative period of three months versus two years off work for three weeks instead of eight months, the astigmatism generated by the replacement of cells is 0.06 to 4.5 diopters versus traditional transplant and, in addition, the cornea is resistant to trauma.

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Another advantage is that it requires eighteen twenty-four stitches completely essential in transplantation, namely by a four-millimeter incision to remove damaged cells and restore the sound.

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The cornea remains intact, does not lose its transparency, and recovery tantola patient's vision is obtained in a few weeks, whereas with traditional transplants require two years to gain a mediocre final and the eye is weakened against bumps and knocks.

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Likewise, natural preserve all the nerves of the cornea, avoiding the negative repercussions of their disappearance in full transplantation (dryness, loss of corneal sensitivity ...). The surgical procedure is also simplified as it is not necessary to open the eye.

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The transplanted healthy endothelial tissue adheres to the natural bed by an air bubble and the patient, after an hour of rest, you can go home. After a week will be enough to get around. The overall vision is recovering from two to three months after the intervention, while the whole transplant thing to do after refractive surgery to achieve an acceptable view, apart from the complications of the sutures involved return to the operating room more than once.
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The technical DSAEK has been developing since 1999 when the first operations were performed by Dr. Gerrit Melles, the Institute for Innovative Ocular Surgery in Rotterdam, Holland. Some NHS facilities have been isolated interventions, but most English casuistry is the tandem González-Ortiz public hospital in Murcia, with 38 cases, followed by a private clinic in Cordova has 20. In the rest of the world's main series is the American Mark Ferry, at the Institute Devers, Portman (Oregon) with 500 organ transplants, mientras que la Rotterdam has 100 cases.

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basic information and guidance. To see a personalized intervention su ophthalmologist.

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OJOS of Ceuta. Innovating in Ophthalmology.

Ophthalmological Center DR. Medina Catoira

Ojos de Ceuta - Innovating in Ophthalmology Ophthalmological Center Dr. Medi Catoira