{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:19:46Z","timestamp":1777580386541,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) combined with complete vitreous chamber fluid-air exchange via pars plana in vitrectomized patients with unstable compartmentalization between the anterior and posterior segment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This case series presents a modified (full-filling) DSAEK technique, involving complete fluid-air exchange via pars plana, in six eyes with endothelial dysfunction and corneal edema who had undergone prior vitrectomy and lacked stable anterior-posterior segment compartmentalization (aphakic, iris-claw IOL, scleral fixed IOL, IOL in the ciliary sulcus). Preoperative and postoperative data, including visual acuity, corneal thickness, and endothelial cell density, were collected. The primary outcome was single-surgery graft adhesion; secondary outcomes included complications, re-bubbling rate, and visual acuity improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The full-filling DSAEK technique achieved complete graft adhesion in all cases at all follow-up visits, with improved visual acuity and decreased corneal thickness. No major complications were recorded, including donor graft dislocation and need of rebubbling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>When performing DSAEK, completely filling the ocular cavity with air via pars plana is a safe and effective technique in poorly compartmentalized vitrectomized eyes to achieve graft adhesion and improving surgical success.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721251404085","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T17:12:41Z","timestamp":1765473161000},"page":"618-624","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The full-filling air technique: A case series of modified DSAEK in vitrectomized eyes without stable compartmentalization"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2516-4127","authenticated-orcid":false,"given":"Guido","family":"Barosco","sequence":"first","affiliation":[{"name":"Ospedale dell\u2019Angelo - ULSS"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Mottola","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario A. 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