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Table 1 Demographic data and clinical outcomes for four patients with bullous keratopathy after forceps delivery

From: Case series and techniques of Descemet’s Stripping Automated Endothelial Keratoplasty for severe bullous keratopathy after birth injury

Case

Sex/Age (yrs)

Eye

Surgery

Clinical Diagnosis

Initial BCVA

BCVA 6 months postop/12 months postop

Endothelial cell density (/mm2), Preop/6 months postop/12 months postop

Complications

Visualization technique used

1

F/46

OD

DSAEK

BK after forceps delivery

0.15

0.5 /0.6

3088/2583 (16.4 % decrease)/2702 (12.5 % decrease)

None

Epithelial removal

2

F/51

OD

DSAEK

BK after forceps delivery

0.4

0.3 /0.6

2941/2673(9.1 % decrease) /2583(12.2 % decrease)

None

Epithelial removal

3

M/56

OD

DSAEK + PEA + IOL

BK after forceps delivery

0.05

0.15/0.15

2983/1912 (35.9 % decrease)/2352(21.2 % decrease)

Postoperative IOP elevation (12 months postop)

Epithelial removal, rypan blue staining, illumination by an endoillumination probe

4

F/53

OS

DSAEK + PEA + IOL

BK after forceps delivery

Hand motion

0.02/0.02

3000/1912 (36.3 % decrease)/881(70.6 % decrease)

Postoperative IOP elevation (day 1), rejection (4 months postop)

Epithelial removal, trypan blue staining, illumination by a surgical slit lamp

  1. Abbreviations: BCVA, best corrected visual acuity; DSAEK, Descemet’s stripping automated endothelial keratoplasty; PEA, phacoemulsification and aspiration; IOL, intraocular lens implantation; BK, bullous keratopathy; IOP, intraocular pressure; N/A, not applicable