Posters

Cystoid macular edema (CME) after pre-cut Descemet's stripping automated endothelial keratoplasty (DSAEK): comparison of simple and triple procedures

Poster Details

First Author: J. Torras SPAIN

Co Author(s):    A. Camos-Carreras   A. Gonzalez-Ventosa   J. Matas   N. Sabater-Cruz           

Abstract Details

Purpose:

To determine if cataract surgery associated to DSAEK procedures increase the risk of developing CME in postoperative period.

Setting:

Surgeries were performed at Hospital Clinic of Barcelona. University of Barcelona (Spain). Lamellar tissue was pre-cut at BTB (Barcelona Tissue Bank).

Methods:

Retrospective review of 50 consecutive DSAEK procedures from 37 patients performed between 2012 and 2015 by the same surgeon (first author) was done. The procedures were classified in 2 groups: 22 eyes received a simple DSAEK procedure (group 1) and 22 eyes received new triple procedure of DSAEK with cataract surgery simultaneously (group 2). The series is completed with 6 cases re-grafted after primary or late failure. CME was considered when a significant visual loss was clinically correlated with Optical Coherence Tomography (OCT) pathologic macular thickness and not with anterior segment complications.

Results:

Indications for DSAEK procedure were Fuchs Endothelial Dystrophy -FED-( 60%), Bullous keratopathy after cataract, retina or Anterior Chamber Intraocular Lens surgeries (28%) and the previous mentioned graft failures (12%). Global prevalence of CME was 20% (10 cases) but if we exclude re-grafts this data increases to 22.7%: 8 cases in group 1 (6 with previous CME or other risk factors) and 3 cases in group 2 all of them without risk factors. Excluding patients with risk factors 2 out of 16 (12.5%) in group 1 and 3 out of 22 (13.6%) developed CME respectively.

Conclusions:

No significant differences in developing clinical CME were found between simple DSAEK group and new triple DSAEK procedure group (DSAEK and simultaneous cataract surgery).

Financial Disclosure:

NONE