Double-Line Reflection Pattern as a Simple Method to Determine Graft Orientation of Descemet Membrane Endothelial Keratoplasty. Issue 6 (June 2019)

• Record Type: Journal Article
• Authors: Berrospi, Rubén D.; Galvis, Virgilio; Bhogal, Maninder; Tello, Alejandro
• Is Part Of: Cornea. Volume 38:Issue 6(2019)
• Publication Date: 2019-06
• Subjects: cornea -- corneal transplantation -- corneal endothelium -- Descemet membrane; Cornea -- Periodicals; Cornea -- Periodicals; Cornée -- Périodiques; 617.719
• DOI: 10.1097/ICO.0000000000001889
• Languages: English
• ISSNs: 0277-3740

Abstract

Abstract : Purpose: To describe a simple finding, consisting of a double-line reflection from the graft inside the anterior chamber, that can be used to determine the correct donor tissue orientation in Descemet membrane endothelial keratoplasty: which we would like to call Berrospi's sign. Methods: Evaluation of the presence of linear reflection from the donor tissue when implanted in the anterior chamber. Results: A distinctive double-line reflection pattern was identified when careful observation of the curls of the scroll was performed under the surgical microscope, which was a confirmatory sign that the graft was in the correct position. Conclusions: This method of confirming correct graft orientation requires no additional procedures, equipment, or manipulation of the donor tissue and can be used in conjunction with other marking methods already described. Abstract : Supplemental Digital Content is Available in the Text.