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Descemet membrane endothelial keratoplasty for corneal decompensation secondary to phakic intraocular lenses

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First Author: E.Fernandez Lopez SPAIN

Co Author(s):    M. Roig Revert   M. Hernández Díaz   S. Montolio Marzo   C. Peris Martínez           

Abstract Details

Purpose:

To describe the surgical technique and clinical outcomes of bilensectomy (pIOL explant and phacoemulsification), followed by DMEK performed for bullous keratopathy secondary to pIOL.

Setting:

FISABIO Oftalmología Médica, Valencia, Spain

Methods:

Seven eyes of seven patients, who developed corneal decompensation after pIOL implantation, underwent bilensectomy followed by DMEK in a two-step procedure. Main outcome measures included uncorrected (UCVA) and best corrected visual acuity (BCVA), refraction, endothelial cell density (ECD) at 1, 3, 6 and 12 months, intraoperative and postoperative complications.

Results:

DMEK was performed 9.83 ± 8.23 months after bilensectomy.BCVA (logMAR) improved in all eyes, increasing from 1.11 ± 0.78 to 0.54 ± 0.21, 0.28 ± 0.23, 0.21 ± 0.21 and 0.17 ± 0.17 1, 3, 6 and 12 months after DMEK.One year after surgery, mean spherical equivalent and cylinder were -0.70 ± 0.92D and -1.50 ± 0.54D.ECD (cells/mm2) decreased from 2975.71 ± 326.01 in donor corneas to 1131.50 ± 217.22, 927.00 ± 171.47, 771.33 ± 105.56 and 717.50 ± 43.91 at 1, 3, 6 and 12 months after DMEK.There was one case of primary graft failure and no other complications.

Conclusions:

The two-step technique: bilensectomy followed by DMEK is a feasible technique for the management of bullous keratopathy secondary to pIOL, providing a fast visual recovery with good visual and refractive results.

Financial Disclosure:

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