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25 April 2026 : Clinical Research  

Long-Term Endothelial Outcomes and Dislocation Risks in Small Versus Large Grafts for Descemet’s Stripping Endothelial Keratoplasty

Yingxin Chen ABEG 1*, Jiaxin Xiao ABCDEF 1, Ruiyao Gao BCD 1, Zhida You BCD 1, Yanhong Ba B 1

DOI: 10.12659/MSM.952103

Med Sci Monit 2026; 32:e952103

Table 1 Baseline characteristics and surgical procedures in the small-graft and large-graft groups of patients.

Small-graft group (n=28)Large-graft group (n=34)P-value
Age (years, mean±SD)67.14±8.5265.59±11.730.560
Gender (n,%)0.818
 Female14 (50.00%)18 (52.94%)
 Male14 (50.00%)16 (47.06%)
Preoperative BCVA (logMAR, mean±SD)1.93±0.881.75±0.870.414
History of glaucoma (n,%)6 (21.43%)10 (29.41%)0.475
Graft thickness (μm, mean±SD)101.70±3.44101.06±4.840.507
Status of the crystalline lens (n,%)0.276
 Phakic16 (57.14%)22 (64.71%)
 Pseudophakic10 (35.72%)12 (35.29%)
 Aphakic2 (7.14%)0
Surgical procedures (n,%)0.923
 DSEK19 (67.86%)25 (73.53%)
 DSEK + phacoemulsification + IOL implantation5 (17.86%)5 (14.71%)
 DSEK + pupilloplasty1 (3.57%)2 (5.88%)
 DSEK + IOL implantation/respositioning + GSL + pupilloplasty1 (3.57%)1 (2.94%)
 DSEK + phacoemulsification + IOL implantation + iridodialysis repair2 (7.14%)1 (2.94%)
SD – standard deviation; BCVA – best-corrected visual acuity; DSEK – Descemet’s stripping endothelial keratoplasty; IOL – intraocular lens; GSL – goniosynochiolysis.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750