Descemet membrane endothelial keratoplasty for corneal decompensation caused by a phakic anterior chamber intraocular lens implantation

2020 ◽  
Vol 258 (12) ◽  
pp. 2761-2766
Author(s):  
Ting Huang ◽  
Jing Wu ◽  
Xiaojuan Dong ◽  
Jianping Ji ◽  
Chen Ouyang ◽  
...  
2014 ◽  
Vol 98 (9) ◽  
pp. 1291-1295 ◽  
Author(s):  
Johannes Gonnermann ◽  
Anna-Karina B Maier ◽  
Matthias K J Klamann ◽  
Tobias Brockmann ◽  
Eckart Bertelmann ◽  
...  

2016 ◽  
Vol 1 (1) ◽  
pp. oapoc.0000002 ◽  
Author(s):  
Elizabeth Cooper ◽  
Jack S. Parker ◽  
John S. Parker ◽  
Gerrit R.J. Melles

Purpose To report a case of Descemet membrane endothelial keratoplasty (DMEK) performed with phacoemulsification and intraocular lens implantation (triple procedure) for coexisting keratoconus (KC), Fuchs endothelial dystrophy (FED), and visually significant cataract. Case description One eye of one patient with moderate and stable KC, FED, and visually significant cataract was treated with combined DMEK and phacoemulsification with intraocular lens implantation (triple procedure). Visual acuity and corneal reflectivity/densitometry, thickness, and topographic measurements were recorded and compared to their preoperative values. At all postoperative time points, the endothelial graft was found to be completely attached. By 3 months postoperatively, the patient's best spectacle corrected vision had improved from 20/50 (0.4) to 20/25 (0.8) where it remained stable. No intra- or postoperative complications were experienced. Conclusions DMEK may be an effective alternative to penetrating keratoplasty in eyes with coexisting stable KC and FED.


2021 ◽  
Vol 14 (5) ◽  
pp. e240709
Author(s):  
Vineet Pramod Joshi ◽  
Pravin Krishna Vaddavalli

A 27-year-old woman had foggy vision and photophobia since 10 months after implantation of implantable collamer lens (ICL STAAR Surgical AG, Nidau, Switzerland) with evidence of corneal decompensation and no cataract formation. Descemet membrane endothelial keratoplasty in phakic eyes is challenging, considering presence of posterior chamber phakic intraocular lens (IOL), decreasing the space available in anterior chamber to manoeuvre the graft. Need of inferior peripheral iridotomy in presence of central hole technology in ICL depends on the dynamics of full chamber air bubble. At 8 months, vision had improved to 20/20 and normal IOP with well-attached graft, stable phakic IOL and clear lens.


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