000			03414cam a2200349 a 4500
003			EG-GiCUC
005			20250223032853.0
008			211129s2021 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.24.Ph.D.2021.Am.D
100	0		_aAmir Mostafa Hassan Amer
245	1	0	_aDescemets memberane endothelial keratoplasty (DMEK) in management of cloudy corneas due to corneal endothelial diseases / _cAmir Mostafa Hassan Amer ; Supervised Mahmoud Ahmed Hishmat Abusteit , Hazem Mohamed Yassin , Rania Mohamed Sobhi
246	1	5	_aتقييم عمليه زرع غشاء ديسمت والخلايا الباطنيه للقرنيه فى علاج عتامة القرنيه الناتجه عن امراض الخلايا الباطنيه للقرنيه
260			_aCairo : _bAmir Mostafa Hassan Amer , _c2021
300			_a152 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Ophthalmology
520			_aPurpose: The aim of this study was to evaluate Descemets membrane Endothelial Keratoplasty (DMEK) as a novel technique in management of cloudy cornea due to corneal endothelial diseases. Methods: This is a prospective interventional case series study applied on thirty eyes of twenty nine patients who underwent a Descemet membrane endothelial keratoplasty (DMEK). This study was carried out from January 2016 to November 2020. Inclusion criteria includes postoperative bullous keratopathy (27 eyes) 90% and Fuchs endothelial dystrophy with cataract (3 eyes) 10 %. All patients underwent complete ophthalmological examination before surgery, including:Uncorrected visual acuity and Best corrected visual acuity (according to the snellen VA chart),Slit lamp examination,assessment of the IOP,endothelial cell density evaluation with specular microscopy using and Corneal thickness with the anterior segment OCT and corneal pachymetry. Follow up at first, third and six months:Slit lamp examination,Measuring IOP,Measuring UCVA and BCVA,Anterior segment OCT using Topcon triton Multimodal Swept Source OCT,Specular microscope measuring using non-contact TOPCON SPECULAR MICROSCOPE SP.2000P and Autorefractometer measuring. Results: As regard the visual acuity (VA) the mean pre-operative VA was 0.12± 0.09 that improved to 0.49± 0.16 one month post-operative, 0.59± 0.16 three months post- operative and 0.68±0.15 six months post-operative with statistically significant improvement of VA throughout the duration of the study. There was marked improvement in VA after DMEK surgery so that by the end of the first month 50.0% of patients achieve VA {u2265} 0.05 and only 3.3% can reach VA {u2265} 0.8. at the end of the 3rd month 86.70 % of cases can achieve VA {u2265} 0.5 and 13.3 % can reach VA {u2265} 0.8 and by the end of 6th month of follow up 93.3% of cases had VA {u2265} 0.05 and 26.7% had VA {u2265} 0.8
530			_aIssued also as CD
653		4	_aDMEK
653		4	_aEndothelial keratoplasty
653		4	_aKertoplasty
700	0		_aHazem Mohamed Yassin , _eSupervisor
700	0		_aMahmoud Ahmed Hishmat Abusteit , _eSupervisor
700	0		_aRania Mohamed Sobhi , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c83346 _d83346