All consecutive performed DMEK (n=752) | ||||
Early graft failure (n=85) (%) | OR | 95% CI | P value | |
Recipient parameters | ||||
Age, years | 1.03 (per 1 unit) | 1.00 to 1.06 | 0.037 | |
Sex | 1.55 | 0.98 to 2.44 | 0.06 | |
Male | 14 | |||
Female | 9 | |||
Baseline IOP, mm Hg | 1.03 (per 1 unit) | 0.96 to 1.10 | 0.43 | |
Baseline CCT, µm | 1.00 (per 1 unit) | 1.00 to 1.01 | 0.43 | |
Indication, FED | 0.8 | 0.39 to 1.62 | 0.53 | |
Yes | 11 | |||
No | 14 | |||
Indication, PBK | 1.59 | 0.45 to 5.61 | 0.47 | |
Yes | 16 | |||
No | 11 | |||
Indication, graft failure | 1.24 | 0.47 to 3.27 | 0.66 | |
Yes | 14 | |||
No | 11 | |||
Lens status, PPC | 1.59 | 0.87 to 2.89 | 0.13 | |
Yes | 12 | |||
No | 8 | |||
Ocular comorbidities, except cataract | 0.81 | 0.41 to 1.63 | 0.56 | |
Yes | 10 | |||
No | 12 | |||
Donor parameters | ||||
Age, years | 0.98 (per 1 unit) | 0.95 to 1.01 | 0.15 | |
Sex | 1.12 | 0.70 to 1.80 | 0.64 | |
Male | 12 | |||
Female | 11 | |||
Graft diameter, mm | ||||
<8.5 | 20 | – | – | – |
8.5 | 8 | 0.37 | 0.21 to 0.64 | <0.001 |
>8.5 | 24 | 1.25 | 0.58 to 2.74 | 0.57 |
ECD, cells/mm2 | 1.00 (per 1 unit) | 1.00 to 1.00 | 0.65 | |
Complicated graft preparation | 2.15 | 0.70 to 6.62 | 0.17 | |
Yes | 21 | |||
No | 11 | |||
Surgery parameters | ||||
Surgical complication | 2.83 | 1.50 to 5.32 | 0.001 | |
Yes | 24 | |||
No | 10 | |||
Diameter descemetorhexis, mm | ||||
<8.5 | 11 | – | – | – |
8.5 | 8 | 0.67 | 0.33 to 1.33 | 0.25 |
>8.5 | 15 | 1.41 | 0.76 to 2.61 | 0.27 |
Recipient donor sex mismatch | 1.02 | 0.65 to 1.61 | 0.93 | |
Yes | 11 | |||
No | 11 | |||
Surgery date after 2015 | 0.32 | 0.19 to 0.54 | <0.001 | |
Yes | 9 | |||
No | 24 | |||
Triple procedure | 0.84 | 0.33 to 2.19 | 0.73 | |
Yes | 10 | |||
No | 11 | |||
Phakic DMEK | 0.33 | 0.08 to 1.40 | 0.08 | |
Yes | 4 | |||
No | 12 | |||
PPC vs phakic DMEK | 3.15 | 0.75 to 13.35 | 0.1 | |
PPC vs triple | 1.29 | 0.49 to 3.34 | 0.61 | |
PPC and triple vs phakic DMEK | 3.09 | 0.73 to 12.98 | 0.11 | |
Eye undergoing surgery | 0.78 | 0.49 to 1.23 | 0.28 | |
Left | 10 | |||
Right | 13 |
CCT, central cornea thickness; DMEK, Descemet membrane endothelial keratoplasty; ECD, endothelial cell density; FED, Fuchs endothelial dystrophy; IOP, intraocular pressure; PBK, pseudophakic bullous keratopathy; PPC, pseudophakic, posterior chamber.