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Development of novel endothelial keratoplasty (nDSAEK) for bullous keratopathy and its visual function analysis

Research Project

Project/Area Number 22591934
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Ophthalmology
Research InstitutionKanazawa University

Principal Investigator

KOBAYASHI Akira  金沢大学, 医学系, 助教 (20303274)

Project Period (FY) 2010 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2012: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2011: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2010: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords角膜移植 / 角膜内皮移植 / 角膜内皮移植術 / DSAEK / nDSAEK / 共焦点顕微鏡 / 水疱性角膜症
Research Abstract

According to a research project, we conducted a research to compare the clinical results after DSAEK(Descemet stripping automated endothelial keratoplasty)and nDSAEK(non-Descemet stripping automated endothelial keratoplasty). As a result, no statistical difference was observed between these two groups in terms of the visual acuity, and best corrected visual acuity, endothelial cell density. Also, no differencewas observed for donor adherence rate. In vivo laser confocal microscopy revealed that subepithelial opacity, stromal needle shaped bodies, donor recipient interface opacity and particles. Most notably, giant hyperreflective materials were observed at donor recipient interface only in nDSAEK group; these were considered to be necrotic and aggregated host endothelial cells and seemed to have no side effect to postoperative visual acuity.

Report

(4 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Annual Research Report
  • 2010 Annual Research Report
  • Research Products

    (56 results)

All 2013 2012 2011 2010 Other

All Journal Article (20 results) (of which Peer Reviewed: 15 results) Presentation (34 results) (of which Invited: 2 results) Book (2 results)

  • [Journal Article] In vivo laser confocal microscopy after Descemet membrane endothelial keratoplasty.2013

    • Author(s)
      Kobayashi A, Yokogawa H, Yamazaki N, Masaki T, Sugiyama K
    • Journal Title

      Ophthalmology

      Volume: 120 Issue: 5 Pages: 923-930

    • DOI

      10.1016/j.ophtha.2012.11.006

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Clinical significance of owl eye morphologic features by in vivo laser confocal microscopy in patients with cytomegalovirus corneal endothelitis2012

    • Author(s)
      Kobayashi A, Yokogawa H, Higashide T, Nitta K, Sugiyama K
    • Journal Title

      Am J Ophthalmol

      Volume: 153 Pages: 445-453

    • Related Report
      2012 Final Research Report
  • [Journal Article] Clinical evaluation of the Tan EndoGlide, anew donor inserter for Descemet's stripping automated endothelial keratoplasty2012

    • Author(s)
      Yokogawa H, Kobayashi A, Sugiyama K
    • Journal Title

      Ophthalmic Surg Lasers Imaging

      Volume: 43 Issue: 1 Pages: 50-56

    • DOI

      10.3928/15428877-20111129-08

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Clinical Evaluation of non-Descemet's Stripping Automated Endothelial Keratoplasty (nDSAEK) Jpn J2012

    • Author(s)
      Masaki T, Kobayashi A, Yo kogawa H, Saito Y, Sugiyama K
    • Journal Title

      Ophthalmol

      Volume: 56 Issue: 3 Pages: 203-207

    • DOI

      10.1007/s10384-012-0123-x

    • Related Report
      2012 Annual Research Report 2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Clinical Results of the Neusidl Corneal Inserter, a New Donor Inserter for Descemet's Stripping Automated Endothelial Keratoplasty2012

    • Author(s)
      Kobayashi A, Yokogawa H, Sugiyama K
    • Journal Title

      or Small Asian EyesOphthalmic Surg Lasers Imaging

      Volume: 43 Issue: 4 Pages: 311-318

    • DOI

      10.3928/15428877-20120426-04

    • Related Report
      2012 Annual Research Report 2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Descemet Stripping Automated Endothelial Keratoplasty for Microcornea2012

    • Author(s)
      Toshida H, Ohta T, Murakami A, Kobayashi A, Sugiyama K
    • Journal Title

      Jpn J Ophthalmol

      Volume: 56 Issue: 5 Pages: 436-440

    • DOI

      10.1007/s10384-012-0163-2

    • NAID

      10031039717

    • Related Report
      2012 Final Research Report
  • [Journal Article] No Touch Technique and a New Donor Adjuster for DSAEK2012

    • Author(s)
      Kobayashi A, Yokogawa H, Sugiyama K
    • Journal Title

      Case Rep Ophthalmol

      Volume: 3 Issue: 2 Pages: 214-220

    • DOI

      10.1159/000339835

    • Related Report
      2012 Annual Research Report 2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] In vivo laser confocal microscopy findings in patients with map-dot-fingerprint dystrophy (epithelial basement membrane dystrophy)2012

    • Author(s)
      Kobayashi A, Yokogawa H, Sugiyama K
    • Journal Title

      Clinical Ophthalmol

      Volume: 6 Pages: 1187-1190

    • DOI

      10.2147/opth.s34196

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Management of a small paracentral corneal perforation using iatrogenic iris incarceration and tissue adhesive2012

    • Author(s)
      Kobayashi A, Yokogawa H, Sugiyama K
    • Journal Title

      Case Report Ophthalmol

      Volume: 3 Issue: 2 Pages: 226-229

    • DOI

      10.1159/000341094

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] A sliding technique to load thin endothelial donor lamella onto Busin glide for Descemet stripping automated endothelial keratoplasty2012

    • Author(s)
      Kobayashi A, Yokogawa H, Sugiyama K
    • Journal Title

      Clinical Ophthalmol

      Volume: 6 Pages: 1229-1231

    • DOI

      10.2147/opth.s34197

    • Related Report
      2012 Annual Research Report 2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Ex vivo laser confocal microscopy findings of cultured Acanthamoeba trophozoites2012

    • Author(s)
      Yamazaki N, Kobayashi A, Yokogawa H, Ishibashi Y, Oikawa Y, Tokoro M, Sugiyama K
    • Journal Title

      Clinical Ophthalmol

      Volume: 6 Pages: 1365-1368

    • DOI

      10.2147/opth.s35258

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] In vivo confocal microscopy and ultrasound biomicroscopy study of filtering blebs after trabeculectomy: limbus-based versus fornix-based conjunctival flaps2012

    • Author(s)
      Morita K, Gao Y, Saito Y, Higashide T, Kobayashi A, Ohkubo S, Sugiyama K
    • Journal Title

      J Glaucoma

      Volume: 21 Issue: 6 Pages: 383-91

    • DOI

      10.1097/ijg.0b013e3182120a08

    • Related Report
      2012 Final Research Report
  • [Journal Article] Diquafosol Ophthalmic Solution Phase 2 Study Group(Kobayashi A, et al). Efficacy and safety of diquafosol ophthalmic solution in patients with dry eye syndrome: a Japanese phase 2 clinical trial2012

    • Author(s)
      Matsumoto Y, Ohashi Y, Watanabe H, Tsubota K
    • Journal Title

      Ophthalmology.

      Volume: 119 Issue: 10 Pages: 1954-60

    • DOI

      10.1016/j.ophtha.2012.04.010

    • Related Report
      2012 Final Research Report
  • [Journal Article] In vivo laser confocal microscopy findings of Thygeson's superficial punctate keratitis2011

    • Author(s)
      Kobayashi A, Yokogawa H, Sugiyama K
    • Journal Title

      Corena

      Volume: 30 Issue: 6 Pages: 675-680

    • DOI

      10.1097/ico.0b013e318200099d

    • Related Report
      2012 Final Research Report 2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Intraocular pressure after Descemet stripping and non- Descemet stripping automated endothelial keratoplast y2011

    • Author(s)
      Mawatari Y, Kobayashi A, Yokogawa H, Sugiyama K
    • Journal Title

      Jpn J Ophthalmol

      Volume: 55 Issue: 2 Pages: 98-102

    • DOI

      10.1007/s10384-010-0916-8

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Mathematical projection model of corneal endothelial cell loss due to Fuchs corneal dystrophy2011

    • Author(s)
      Hatou S, Shimmura S, Shimazaki J, Usui T, Amano S, Yokogawa H, Kobayashi A, Shiraishi A, Ohashi Y, Inatomi T, Kinoshita S, Tsubota K
    • Journal Title

      Invest Ophthalmol Vis Sci

      Volume: 52 Issue: 11 Pages: 7888-7893

    • DOI

      10.1167/iovs.11-8040

    • Related Report
      2012 Final Research Report
  • [Journal Article] Intraocular pressure after Descemet stripping and non-Descemet stripping automated endothelial keratoplasty2011

    • Author(s)
      Mawatari Y, Kobayashi A, Yokogawa H, Sugiyama K
    • Journal Title

      Jap J Ophthalmol

      Volume: 55 Pages: 98-102

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Mathematical projection model of corneal endothelial cell loss due to Fuchs corneal dystrophy. 2011:52:7888-78932011

    • Author(s)
      Hatou S, Shimmura S, Shimazaki J, Usui T, Amano S, Yokogawa H, Kobayashi A, Shiraishi A, Ohashi Y, Inatomi T, Kinoshita S, Tsubota K
    • Journal Title

      Invest Ophthalmol Vis Sci

      Volume: 52 Pages: 7888-7893

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Intraocular pressure after Descemet stripping and non-Descemet stripeing automated endothelial keratoplasty.2011

    • Author(s)
      Mawatari Y, Kobayashi A, Yokogawa H, Sugiyama K.
    • Journal Title

      Japanese Journal of Ophthalmology

      Volume: 55 Pages: 98-102

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] In vivo laser confocal microscopic analysis of corneal K-structures after keratorefractive surgery(LASIK and epi-LASIK).2010

    • Author(s)
      Yokogawa H, Kobayashi A, Tagawa K, Sugiyama K.
    • Journal Title

      Ophthalmic Surgery Lasers Imaging

      Volume: 41 Pages: 494-498

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2012

    • Author(s)
      小林 顕
    • Organizer
      播州オキュラーサーフェイス講演会
    • Place of Presentation
      姫路市 イーグレ姫路
    • Year and Date
      2012-12-08
    • Related Report
      2012 Final Research Report
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2011

    • Author(s)
      小林 顕
    • Organizer
      第9回新潟眼科手術研究会
    • Place of Presentation
      新潟グランドホテル、新潟市
    • Year and Date
      2011-09-03
    • Related Report
      2012 Final Research Report
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2011

    • Author(s)
      小林顕
    • Organizer
      第9回新潟眼科手術研究会
    • Place of Presentation
      新潟グランドホテル、新潟市(招待講演)
    • Year and Date
      2011-09-03
    • Related Report
      2011 Annual Research Report
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2011

    • Author(s)
      小林 顕
    • Organizer
      第142回宮崎県眼科医会講習会
    • Place of Presentation
      ホテルJALシティ宮崎、宮崎県
    • Year and Date
      2011-04-16
    • Related Report
      2012 Final Research Report
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2011

    • Author(s)
      小林顕
    • Organizer
      第142回宮崎県眼科医会講習会
    • Place of Presentation
      ホテルJALシティ宮崎、宮崎県(招待講演)
    • Year and Date
      2011-04-16
    • Related Report
      2011 Annual Research Report
  • [Presentation] 角膜内皮移植2011

    • Author(s)
      小林 顕
    • Organizer
      第1回 林眼科オープン手術カンファランス
    • Place of Presentation
      林眼科 福岡県
    • Year and Date
      2011-03-05
    • Related Report
      2012 Final Research Report
  • [Presentation] 角膜内皮移植2011

    • Author(s)
      小林顕
    • Organizer
      第1回林眼科オープン手術カンファランス
    • Place of Presentation
      林眼科福岡県(招待講演)
    • Year and Date
      2011-03-05
    • Related Report
      2010 Annual Research Report
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2011

    • Author(s)
      小林 顕
    • Organizer
      第13回眼科サージャンの会
    • Place of Presentation
      前橋マーキュリーホテル群馬県
    • Year and Date
      2011-02-25
    • Related Report
      2012 Final Research Report
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2011

    • Author(s)
      小林顕
    • Organizer
      第13回眼科サージャンの会
    • Place of Presentation
      前橋マーキュリーホテル群馬県(招待講演)
    • Year and Date
      2011-02-25
    • Related Report
      2010 Annual Research Report
  • [Presentation] アルゴンレーザー虹彩切開術後水疱性角膜症におけるnDSAEKの術後成績2011

    • Author(s)
      正木利憲、小林 顕、横川英明、杉山和久
    • Organizer
      第35回日本角膜学会総会
    • Place of Presentation
      東京 品川プリンスホテル
    • Year and Date
      2011-02-18
    • Related Report
      2012 Final Research Report
  • [Presentation] アルゴンレーザー虹彩切開術後水疸性角膜症におけるnDSAEKの術後成績2011

    • Author(s)
      正木利憲、小林顕、禎川英明、杉山和久
    • Organizer
      第35回日本角膜学会総会
    • Place of Presentation
      東京 品川プリンスホテル
    • Year and Date
      2011-02-18
    • Related Report
      2010 Annual Research Report
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2011

    • Author(s)
      小林 顕
    • Organizer
      第91回富山大学眼科臨床カンファランス
    • Place of Presentation
      富山国際会議場 富山県
    • Year and Date
      2011-01-15
    • Related Report
      2012 Final Research Report
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2011

    • Author(s)
      小林顕
    • Organizer
      第91回富山大学眼科臨床カンファランス
    • Place of Presentation
      富山国際会議場富山県(招待講演)
    • Year and Date
      2011-01-15
    • Related Report
      2010 Annual Research Report
  • [Presentation] The Usefullness of no touch technique for DSAEK donor centering and development of donor adjuster2010

    • Author(s)
      Kobayashi A, Yokogawa H, Sugiyama K.
    • Organizer
      2nd Asia Cornea Society Biennial Scientific Meeting
    • Place of Presentation
      京都 ウェスティン都ホテル
    • Year and Date
      2010-12-02
    • Related Report
      2012 Final Research Report 2010 Annual Research Report
  • [Presentation] DSAEKにおける危機管理と解決法2010

    • Author(s)
      小林 顕
    • Organizer
      第1回静岡角膜クラブ
    • Place of Presentation
      グランドホテル中島屋 静岡県
    • Year and Date
      2010-10-02
    • Related Report
      2012 Final Research Report
  • [Presentation] DSAEKにおける危機管理と解決法2010

    • Author(s)
      小林顕
    • Organizer
      第1回静岡角膜クラブ
    • Place of Presentation
      グランドホテル中島屋静岡県(招待講演)
    • Year and Date
      2010-10-02
    • Related Report
      2010 Annual Research Report
  • [Presentation] Understanding normal and post-surgical anatomy2010

    • Author(s)
      Kobayashi A
    • Organizer
      The 25th Asia-Pacific Academy of Ophthalmology Congress
    • Place of Presentation
      Beijing, China, China national convention center
    • Year and Date
      2010-09-16
    • Related Report
      2012 Final Research Report
  • [Presentation] Understanding normal and post-surgical anatomy2010

    • Author(s)
      Kobayashi A.
    • Organizer
      The 25th Asia-Pacific Academy of Ophthalmology Congress
    • Place of Presentation
      Beijing, China China nationalc convention enter
    • Year and Date
      2010-09-16
    • Related Report
      2010 Annual Research Report
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2010

    • Author(s)
      小林 顕
    • Organizer
      第9回北海道角膜セミナー
    • Place of Presentation
      ホテルニューオータニ札幌 北海道
    • Year and Date
      2010-08-07
    • Related Report
      2012 Final Research Report
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2010

    • Author(s)
      小林顕
    • Organizer
      第9回北海道角膜セミナー
    • Place of Presentation
      ホテルニューオータニ札幌北海道(招待講演)
    • Year and Date
      2010-08-07
    • Related Report
      2010 Annual Research Report
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2010

    • Author(s)
      小林 顕
    • Organizer
      第7回宮城先進医療研究会
    • Place of Presentation
      東北大学 宮城
    • Year and Date
      2010-06-30
    • Related Report
      2012 Final Research Report
  • [Presentation] 角膜内皮移植術(DSAEK)の臨床と最近の話題2010

    • Author(s)
      小林顕
    • Organizer
      第7回宮城先進医療研究会
    • Place of Presentation
      東北大学宮城県(招待講演)
    • Year and Date
      2010-06-30
    • Related Report
      2010 Annual Research Report
  • [Presentation] Clinical results of non Descemet stripping automated endothelial keratoplasty2010

    • Author(s)
      Masaki T, Kobayashi A, Yokogawa H, Sugiyama K
    • Organizer
      World Ophthalmology Congress World ophthalmology congress
    • Place of Presentation
      2010 International Congress Centrum Berlin Germany
    • Year and Date
      2010-06-05
    • Related Report
      2012 Final Research Report
  • [Presentation] Clinical results of non Descemet stripping automated endothelial keratoplasty.World Ophthalmology Congress2010

    • Author(s)
      Masaki T, Kobayashi A, Yokogawa H, Sugiyama K.
    • Organizer
      World ophthalmology congress 2010
    • Place of Presentation
      International Congress Centrum Berlin Germany
    • Year and Date
      2010-06-05
    • Related Report
      2010 Annual Research Report
  • [Presentation] Sugiyama K. Intraocular Pressure After Descemet Stripping and Non- Descemet Stripping Automated Endothelial Keratoplasty2010

    • Author(s)
      Mawatari Y, Kobayashi A, Yokogawa H
    • Organizer
      81th Association for Reserch in Vision and Ophthalmology
    • Place of Presentation
      Fort Lauderdale convention center, USA
    • Year and Date
      2010-05-02
    • Related Report
      2012 Final Research Report
  • [Presentation] Clinical Outcomes With the Tan End Glide : A New Donor Inserter for DSAEK2010

    • Author(s)
      Yokogawa H, Kobayashi A, Sugiyama K.
    • Organizer
      81th Association for Reserch in Vision and Ophthalmology
    • Place of Presentation
      Fort Lauderdale convention center, USA
    • Year and Date
      2010-05-02
    • Related Report
      2012 Final Research Report
  • [Presentation] Sugiyama K.Clinical Results with the Neusidle Corneal Inserter (New Donor Inserter for DSAEK) for Small Asian Eyes2010

    • Author(s)
      Kobayashi A, Yokogawa H
    • Organizer
      81th Association for Reserch in Vision and Ophthalmology
    • Place of Presentation
      Fort Lauderdale convention center, USA
    • Year and Date
      2010-05-02
    • Related Report
      2012 Final Research Report
  • [Presentation] Intraocular Pressureping Automated After Descemet Stripping and Non-Descemet Strip Endothelial Keratoplasty2010

    • Author(s)
      Mawatari Y, Kobayashi A, Yokogawa H, Sugiyama K
    • Organizer
      81th Associationalmology for Research in Vision and Ophth conventi
    • Place of Presentation
      Fort Lauderdaleon center, USA
    • Year and Date
      2010-05-02
    • Related Report
      2010 Annual Research Report
  • [Presentation] Clinical Outcomes for Research With the Tan End Glide : A New Donor Inserter for DSAEK2010

    • Author(s)
      Yokogawa H, Kobayashi A, Sugiyama K.
    • Organizer
      81th Association in Vision and Ophth almology
    • Place of Presentation
      Fort Lauderdale conventi on center, USA
    • Year and Date
      2010-05-02
    • Related Report
      2010 Annual Research Report
  • [Presentation] Clinical Results with the Neusidle Corneal Inserter (New Donor Inserter for DSAEK) for Small Asian Eyes2010

    • Author(s)
      Kobayashi A, Yokogawa H, Sugiyama K.
    • Organizer
      81th Association for Research in Vision and Ophthalmology
    • Place of Presentation
      Fort Lauderdale convention center, USA
    • Year and Date
      2010-05-02
    • Related Report
      2010 Annual Research Report
  • [Presentation] 角膜内皮移植術:最近の進歩

    • Author(s)
      小林顕
    • Organizer
      第43回東海北陸ブロック講習会
    • Place of Presentation
      福井市 福井県自治会館
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Presentation] 角膜内皮移植術(DSAEK/DMEK)の臨床と最近の話題

    • Author(s)
      小林顕
    • Organizer
      第2回長崎地域眼科学術セミナー
    • Place of Presentation
      長崎市 ANAクラウンプラザホテル長崎グラバーヒル
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Presentation] 角膜内皮移植術(DSAEK/DMEK)の現在と今後の展望

    • Author(s)
      小林顕
    • Organizer
      第3回西三河・知多眼科懇話会
    • Place of Presentation
      名古屋市 ANAクラウンプラザホテルグランコート名古屋
    • Related Report
      2012 Annual Research Report
  • [Presentation] 角膜内皮移植術(DSAEK/DMEK/DMET)の現在と今後の展望

    • Author(s)
      小林顕
    • Organizer
      播州オキュラーサーフェイス講演会
    • Place of Presentation
      姫路市 イーグレ姫路
    • Related Report
      2012 Annual Research Report
  • [Book] 眼科マイクロサージェリー第6版2010

    • Author(s)
      小林 顕
    • Related Report
      2012 Final Research Report
  • [Book] 角膜内皮移植術眼科マイクロサージェリー第6版III角膜・結膜手術2010

    • Author(s)
      小林顕
    • Publisher
      エルゼビアジャパン東京
    • Related Report
      2010 Annual Research Report

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Published: 2010-08-23   Modified: 2019-07-29  

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