Case Reports

DMEK for corneal edema with in situ ICL

Case Report Details

First Author: V.Joshi INDIA

Co Author(s):    P. Vaddavalli                    

Abstract Details

Purpose:

To report a case eherein endothelial keratoplasty (DMEK) was performed successfully to manage corneal decompensation , without explanting the ICL (implantable collamer lens) or removing the crystalline lens.

Setting:

Tertiary Eye care centre in India L V Prasad Eye iNstitute , Hyderabad

Report of Case:

We report a case of corneal decompensation following implantation of ICL (implantable collamer lens ) that was treated successfully with DMEK (Descemet membrane endothelial transplantation). 27 year old woman presented with history of decrease in vision 10 months after implantation of ICL. There was no evidence of cataract formation. DMEK in a phakic eye is challenging, especially in the presence of an posterior chamber phakic IOL, which further decreases the space available in the anterior chamber to maneuver the graft during surgery. The need of inferior peripheral iridotomy in presence of a central hole technology in ICL depends on the dynamics of a full anterior chamber central air bubble. At one month follow-up, best corrected vision had improved to 20/20p and the IOP was 12 mm Hg with a well attached graft.

Conclusion/Take Home Message:

DMEK can be performed successfully in a phakic eye with an ICL in situ to treat corneal decompensation.

Financial Disclosure:

None