Faculty Opinions recommendation of Visual outcome after Descemet's stripping automated endothelial keratoplasty in an 8-month-old with congenital hereditary endothelial dystrophy.

2014 ◽  
Author(s):  
Ken K Nischal ◽  
Sam Harding
Keyword(s):  
Visual Outcome ◽  
Endothelial Keratoplasty ◽  
Congenital Hereditary Endothelial Dystrophy

Factors Limiting the Visual Outcome After Descemet Stripping Automated Endothelial Keratoplasty

Cornea ◽  
2018 ◽  
Vol 37 (1) ◽  
pp. 20-27
Author(s):  
Yasuaki Iwama ◽  
Takeshi Soma ◽  
Naoyuki Maeda ◽  
Yuzuru Sasamoto ◽  
Yoshinori Oie ◽  
...  
Keyword(s):  
Visual Outcome ◽  
Endothelial Keratoplasty

scholarly journals Visual Outcome of Combined Descemet Stripping Endothelial Keratoplasty and Sutured Scleral Fixated Intraocular Lens in Endothelial Decompensation with Coexistent Aphakia or Intra Ocular Lens Subluxation

2021 ◽  
Author(s):  
Jaya Kaushik ◽  
Ankita Singh ◽  
Rakesh Shetty ◽  
Jitendra Kumar Singh Parihar ◽  
Divya Kochhar ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Visual Outcome ◽  
Bullous Keratopathy ◽  
Endothelial Keratoplasty ◽  
Ocular Lens ◽  
Descemet Stripping Endothelial Keratoplasty ◽  
Lens Subluxation ◽  
Preoperative Visual Acuity ◽  
Endothelial Decompensation

Abstract Purpose To elucidate visual outcome of patients after combined Descemet stripping endothelial keratoplasty (DSEK) with scleral fixated intra ocular lens (SFIOL) implantation in patients of endothelial decompensation with coexistent aphakia or lens subluxation. Materials and Methods A prospective interventional study of combined DSEK with sutured SFIOL in the patients who have undergone surgery at our center over 6-month follow-up period. Preoperative visual acuity and slit lamp findings were documented. Postoperative follow-up was done at days 1, 3, and 7 subsequently, months 1 and 3, and thereafter monthly till the sixth month. Results Mean age of the patients was 60.47 years. Six patients had aphakic bullous keratopathy, while 11 patients had pseudophakic bullous keratopathy with subluxated posterior chamber IOL (PCIOL). Preoperative visual acuity ranged from hand movements close to face (LogMar 2.4) with accurate projection of rays to 1/60 (LogMar 2) due to existing corneal edema and aphakia. Postoperatively uncorrected visual acuity at 6 months improved up to 6/36 (LogMar 0.8) in all cases. There was gradual improvement in corneal clarity and compactness during the follow-up. A good donor tissue endothelial count and an adequate IOP control were vital prognostic factors for the successful outcome. Conclusion This novel surgical merger reduces the complications of lenticule dislocation into vitreous and repeated surgeries and shows results akin to when performed in a staged manner.

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