Publications by authors named "K Spaniol"

Article Synopsis
  • The study investigates the long-term clinical outcomes (up to 10 years) of Descemet Membrane Endothelial Keratoplasty (DMEK) and Triple-DMEK procedures in patients with conditions like Fuchs endothelial dystrophy and pseudophakic bullous keratopathy.
  • A total of 54 eyes were followed for at least 5 years, revealing significant improvements in best-corrected visual acuity post-surgery, though endothelial cell density decreased over time, independent of visual acuity.
  • Findings suggest that while endothelial cell density declines, patients maintain good vision for a decade post-surgery, with stable corneal thickness and relatively low rates of graft failure and complications.
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Article Synopsis
  • Sustainable treatment for aqueous deficient dry eye (ADDE) is lacking, necessitating new strategies like tissue-specific hydrogels that mimic the extracellular matrix to support cell function.
  • Researchers developed a decellularized lacrimal gland hydrogel (dLG-HG) that maintains the necessary biochemical properties, showing improved cell proliferation and secretion capabilities compared to standard culture substrates like Matrigel and collagen type-I.
  • While dLG-HG promotes vital cell interactions and functions, its rapid biodegradation poses challenges for long-term cultivation, indicating a need for further research to slow this process.
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Prcis: A main safety concern associated with new glaucoma implants is corneal endothelial cell loss, which could even be observed in already established procedures.

Purpose: The purpose of this study was to evaluate the efficacy and corneal safety, especially corneal endothelial cell loss (ECL), after Preserflo MicroShunt implantation.

Methods: A monocentric, prospective clinical observational study of patients with a follow-up of at least 12 months who underwent Preserflo MicroShunt implantation at the Department of Ophthalmology, University Hospital of Düsseldorf, Germany, between January 2020 and October 2021.

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Porcine decellularized conjunctiva (PDC) represents a promising alternative source for conjunctival reconstruction. Methods of its re-epithelialization in vitro with primary human conjunctival epithelial cells (HCEC) have already been established. However, a long-term storage method is required for a simplified clinical use of PDC.

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Background: In recent years, an increasing number of surgical microscopes fitted with an OCT module (intraoperative OCT, iOCT) have become available, providing high-resolution images of the surgical site in real time. While a 2018 survey at our hospital showed that iOCT delivered an additional intraoperative benefit in only 2.4% of all operations, considering that the manufacturer had since revised the hardware and software, we conducted a second user evaluation of this technology.

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