Clinical outcomes of central circular Descemetorhexis without endothelial transplantation in patients with Fuch's corneal dystrophy
Session Details
Session Title: Cornea Surgical II
Session Date/Time: Tuesday 13/09/2016 | 08:00-10:30
Paper Time: 09:44
Venue: Hall C2
First Author: : E.Malyutina RUSSIA
Co Author(s): : B. Malyugin O. Antonova
Abstract Details
Purpose:
To assess the results of central descemetorhexis (CDR) in patients with Fuch’s corneal endothelial dystrophy
Setting:
S. Fyodorov Eye Microsurgery Federal Institution, Moscow, Russia
Methods:
8 eyes of 8 patients (2 men and 6 women) with the mean age of 65,7±11,3 years (range 51-84) having Fuch’s corneal dystrophy and cataract underwent US phacoemulsification, in-the-bag hydrophobic acrylic IOL implantation followed by CDR (3.5-4.5 mm in diameter) without endothelial transplantation. Best-corrected visual acuity (BCVA), corneal pachymetry, endothelial cell density (ECD), and confocal microscopy were evaluated preoperatively and 1 day, 1 and 3 months postoperatively
Results:
On the 1st day postop significant stromal edema corresponding to the area of removed Descemet’s membrane was observed leading to low VA. Mean preoperative BCVA was 0,34±0,19. Following the surgery BCVA was 0,07±0,06; 0,29±0,25 and 0,36±0,18 1st day, 1 and 3 months postop. Central corneal pachymety values were 596,5±53,8μm; 865,4±43,9μm; 709,6±106,2μm; and 605,0±48,3μm in the above mentioned time intervals. Complete resolution of corneal edema was achieved in 6 out of 8 cases in 3-month period. Their BCVA at the last visit was 0,47±0,22 with central corneal pachymetry 34,2±108,6μm.After 3 months ECD were counted in 2 out of 6 eyes
Conclusions:
Central descemetorhexis is a viable option for visual rehabilitation in some patients with Fuch’s corneal endothelial dystrophy and cataract eliminating the need for endothelial grafting. Further research is necessary to find out which category of patients will benefit best from that technology
Financial Disclosure:
NONE
