Refractive Outcomes After Descemet Membrane Endothelial Keratoplasty + Cataract/Intraocular Lens Triple Procedure

Cornea ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Victor A. Augustin ◽  
Julia M. Weller ◽  
Friedrich E. Kruse ◽  
Theofilos Tourtas
Keyword(s):  
Intraocular Lens ◽  
Endothelial Keratoplasty ◽  
Descemet Membrane Endothelial Keratoplasty ◽  
Descemet Membrane ◽  
Refractive Outcomes ◽  
Triple Procedure

scholarly journals Descemet Membrane Endothelial Keratoplasty in an Eye with Fuchs Endothelial Dystrophy and Keratoconus

2016 ◽  
Vol 1 (1) ◽  
pp. oapoc.0000002 ◽  
Author(s):  
Elizabeth Cooper ◽  
Jack S. Parker ◽  
John S. Parker ◽  
Gerrit R.J. Melles
Keyword(s):  
Intraocular Lens ◽  
Endothelial Keratoplasty ◽  
Intraocular Lens Implantation ◽  
Descemet Membrane Endothelial Keratoplasty ◽  
Descemet Membrane ◽  
Triple Procedure ◽  
Lens Implantation ◽  
Postoperative Time ◽  
Fuchs Endothelial Dystrophy ◽  
Significant Cataract

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.

Intraocular Lens Calcifications After (Triple-) Descemet Membrane Endothelial Keratoplasty

2017 ◽  
Vol 179 ◽  
pp. 129-136 ◽  
Author(s):  
Silvia Schrittenlocher ◽  
Marius Penier ◽  
Friederike Schaub ◽  
Felix Bock ◽  
Claus Cursiefen ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Endothelial Keratoplasty ◽  
Descemet Membrane Endothelial Keratoplasty ◽  
Descemet Membrane

scholarly journals Ultrastructural findings in graft failure after Descemet membrane endothelial keratoplasty (DMEK) and new triple procedure

Medicine ◽  
2019 ◽  
Vol 98 (19) ◽  
pp. e15493 ◽  
Author(s):  
Isabell Schmidt ◽  
Ursula Schlötzer-Schrehardt ◽  
Achim Langenbucher ◽  
Timo Eppig ◽  
Tobias Hager ◽  
...  
Keyword(s):  
Graft Failure ◽  
Endothelial Keratoplasty ◽  
Descemet Membrane Endothelial Keratoplasty ◽  
Descemet Membrane ◽  
Triple Procedure ◽  
Ultrastructural Findings

Posterior iris-claw aphakic intraocular lens implantation and Descemet membrane endothelial keratoplasty

2014 ◽  
Vol 98 (9) ◽  
pp. 1291-1295 ◽  
Author(s):  
Johannes Gonnermann ◽  
Anna-Karina B Maier ◽  
Matthias K J Klamann ◽  
Tobias Brockmann ◽  
Eckart Bertelmann ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Endothelial Keratoplasty ◽  
Intraocular Lens Implantation ◽  
Descemet Membrane Endothelial Keratoplasty ◽  
Descemet Membrane ◽  
Lens Implantation ◽  
Iris Claw

scholarly journals Outcomes of Descemet Membrane Endothelial Keratoplasty for Vitrectomized Eyes with Sutured Posterior Chamber Intraocular Lens

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Norihiro Yamada ◽  
Takahiko Hayashi ◽  
Kentaro Yuda ◽  
Toshiki Shimizu ◽  
Itaru Oyakawa ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Corneal Thickness ◽  
Control Group ◽  
Posterior Chamber ◽  
Endothelial Keratoplasty ◽  
Descemet Membrane Endothelial Keratoplasty ◽  
Iol Implantation ◽  
Descemet Membrane ◽  
Posterior Chamber Intraocular Lens ◽  
Pars Plana

Purpose. To evaluate the clinical outcomes of Descemet membrane endothelial keratoplasty (DMEK) for vitrectomized eyes that underwent pars plana vitrectomy (PPV) and transscleral-sutured intraocular lens (IOL) implantation. Methods. In this retrospective study, DMEK cases were reviewed from medical records and divided into two groups: the eyes after PPV and transscleral-sutured IOL implantation (vitrectomized group) and the eyes with in-the-bag IOL implantation (control group) prior to DMEK. The main outcome measures included time of graft unfolding during surgery and best spectacle-corrected visual acuity (BSCVA), central corneal thickness (CCT), and endothelial cell density (ECD) at 1, 3, and 6 months after the DMEK. Results. Twenty-three eyes (vitrectomized group, n=8; control group, n=15) in 23 patients were included in this study. The unfolding time was significantly longer in the vitrectomized group than in the control group (P<0.001). Postoperative BSCVA was worse in the vitrectomized group (0.16 ± 0.15) than in the control group (−0.06 ± 0.06; P=0.017). The improvement in BSCVA was negatively correlated with the patients’ age and frequency of previous surgeries. Conclusions. Despite the longer graft unfolding time and limited visual recovery, DMEK should be applicable to vitrectomized eyes with transscleral-sutured IOL implantation.

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