Canine Descemet Stripping Endothelial Keratoplasty with a Tissue Insertion Device: Technique and Long-Term Outcome

Figure 1

Photographs of an eye affected by canine endothelial dystrophy before and after Descemet’s stripping endothelial keratoplasty (DSEK) in a 16-month-old Tibetan Terrier. Preoperatively (A), diffuse edema had resulted in complete opacification of the cornea, with no visibility of anterior chamber structures. Corneal pachymetry measured 1400 microns centrally. Twelve days after surgery (B), the cornea began to clear, and the pupil became visible. Pachymetry improved to 800 microns at 4 months. At 40 months (C), the graft remained clear and opacification in the peripheral cornea continued to resolve. The iris and lens are now clearly visible.