Eversight Services Information 2017 | Page 5

EVERSIGHT SERVICES DSAEK: DESCEMET STRIPPING AUTOMATED ENDOTHELIAL KERATOPLASTY DSAEK PREPARED TISSUE Eversight preparation procedure DSAEK prepared tissue Eversight processing technicians use the Moria Microkeratome System and a 300, 350, or 400µ microkeratome head to prepare corneal grafts for surgeons performing Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) procedures. Eversight thickness policy range 90-200µ Head size selection for each tissue is determined by the processing technician based on an algorithm that utilizes both the pre-prepared tissue thickness, as well as data specific to each technician and each Moria system. Pre- and post-prepared tissue thickness measurements are obtained centrally from optical coherence tomography (OCT) images. Surgeons are provided with slit-lamp biomicroscopy and specular microscopy evaluations both pre- and post-preparation. Eversight Support Eversight is committed to ensuring that you are both comfortable and confident as you begin to offer DSAEK to your patients. We provide a number of practice opportunities, including wet lab courses, training tissue, supply kits, and use of our facility with the assistance of an Eversight processing technician. Epithelium side Eversight standard target thickness 90-135µ Ultrathin thickness policy range 40-90µ Markings Peripheral alignment mark Options "S" Stromal stamp with equidistant placement (paracentral or peripheral placement available by request). Micro stromal stamp 9mm Trephine marking Epithelium centration dot Additional arrangements of stromal bed dots or streaks by request (for example, peripheral stromal hash marks at the four cardinal directions). Stromal Stamping The following examples show different placements of the S stamp. Proportions are to scale with a typical 11-12mm cornea (dark blue), typical 10mm cut bed (light blue), surgeon punch button size (varies, but the examples use an 8.0mm) and Eversight DSAEK "S" stromal stamp. Alignment Mark Equidistant DSAEK Stromal Stamp Paracentral DSAEK Stromal Stamp Peripheral DSAEK Stromal Stamp Questions? Contact: Lauren Johnson • [email protected] • (800) 247-7250 ext. 2597