[Confocal microscopy findings after endothelial transplant by DSAEK].

Objective: To evaluate early in vivo corneal wound healing findings after Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) by using in vivo confocal microscopy.

Method: A total of 15 eyes of 15 patients were included. In vivo confocal microscopy (Confoscan 4, Fortune Technologies, Italy) was performed from 4 to 7 weeks after DSAEK. Measurements were scanned from the corneal endothelium to the corneal surface with a Navis® software (NIDEK, Multi-Instrument Diagnostic System, Japan).

Results: Donor-receptor interface was found in an average of 114 ± 12.4 microns. Corneal stromal folds were observed from 111.1 ± 3.5 microns from the endothelium to 286 ± 94 microns (mean 175 ± 90.5 microns of the corneal stroma). Keratocites were activated in the donor tissue from 12 ± 1.4 microns from the endothelium to 105 ± 38.2 microns (mean 93 ± 36.9 microns of the corneal stroma).

Conclusions: Donor keratocites are activated up to 7 weeks after DSAEK. Several corneal folds are present in proximity to the donor-receptor interface after DSAEK. Further evaluation of these findings is justified to determine its clinical significance.