Posters

Functional and anatomical results of a personal technique for DMEK

Poster Details

First Author: L. Mosca ITALY

Co Author(s):    L. Guccione   A. Villano   A. Caporossi              

Abstract Details

Purpose:

To evaluate the anatomical and functional results in patients submitted to DMEK with a personal surgical technique and surgical instrumentation, in terms of BSCVA, endothelial cell loss, rejection rate, and postoperative Descemet detachment rate.

Setting:

Institute of Ophthalmology - Agostino Gemelli Polyclinic Foundation - Catholic University of Sacro Cuore, Rome, Italy

Methods:

10 eyes of 10 patients affected by FECD (7 eyes) or Bullous pseudophakic endothelial keratopathy (3 eyes) have been submitted to a personal technique of DMEK. Functional parameters analyzed were: mean BSCVA, mean ECD, graft rejection rate, graft detachment rate during follow-up at 1, 3, and 6 months.

Results:

Mean preoperative BSCVA of 3,75 ±1.04 SD increased to 8.20 at 3 months and to 9,25 ±0,89SD at 6 months postoperatively. Mean preoperative ECD of 2525cell/mm2 ±103,51SD, decreased to 2020,38cell/mm2 ±169,55SD at 6 months follow-up (rate of postop ECD loss of 20,01%). No case of graft rejection was observed during follow-up. A partial graft detachment occurred in 7 of 10 eyes (70,0%) from 2 to 7 days postoperatively, all submitted to successful rebubbling technique.

Conclusions:

Despite the high rate of rebubbling, this technique of DMEK with personalized instrumentation showed good results in term of postoperative BSCVA, ECD loss rate and graft rejection.

Financial Disclosure:

NONE