Posters

Low complication rate after the learning curve of DMEK

Poster Details

First Author: N. Cesário Pereira BRAZIL

Co Author(s):    A. Dos Santos Forseto   J. Pereira Gomes                 

Abstract Details

Purpose:

To evaluate the results and complication rates after the learning curve of Descemet's membrane endothelial keratoplasty (DMEK).

Setting:

All surgeries and the study were carried out at Sorocaba Eye Bank, Sorocaba ,São Paulo, Brazil

Methods:

Retrospective review of 165 consecutive DMEK performed with the Samba technique at Sorocaba Eye Bank by the same surgeon (N.C.P.), after a learning curve of 150 cases. Clinical outcomes and complications were described.

Results:

There were only 3 partial graft detachments requiring re-bubble (1.8% re-bubbling rate) and they were successfully reattached with one air bubble. There was one primary graft failure (0,6%) due to a toxic anterior segment syndrome (TASS). One tissue loss (0,6%) ocurred during preparation of the DMEK grafts. There was not a single case of pupillary block.

Conclusions:

The results described in this series have an acceptably low re-bubbling rate (1.8%) and yielded only one case of primary graft failure (0,6%). The complication of pupillary block was never seen in this series. This shows that after the learning curve it is possible to achieve a very low complication rate with DMEK.

Financial Disclosure:

NONE