Posters

New approach: Descemet’s membrane endothelial keratoplasty in aphakic and vitrectomized eye

Poster Details

First Author: R.Karadag TURKEY

Co Author(s): V. Aykut   F. Esen   H. Oguz   A. Demirok           

Abstract Details

Purpose:

To report a new approach of Descemet membrane endothelial keratoplasty (DMEK) surgery in eye with aphakic and vitrectomized.

Setting:

Istanbul Medeniyet University School of Medicine.

Methods:

A 56-year-old man presented with corneal decompensation in the left eye after combined pars plana vitrectomy and lensectomy following a traumatic eye injury. DMEK graft and recipient bad were prepared. Half of the endothelial side of the remnant stromal donor tissue was cut off using the bevel-up crescent knife. Pupillary constriction was obtained with acetylcholine. Prepared donor stromal tissue was implanted into the anterior chamber (AC). The DMEK graft was injected. The graft was deployed by gently tapping on the corneal surface.

Results:

After placement verification air was injected into the AC to seat the graft.Then, after ten minutes waiting, BSS was injected into the AC, and the air was removed. Afterward, prepared donor corneal tissue was removed from the anterior chamber through the main wound. The main wound was sutured with a 10-0 nylon suture. Finally, the air was re-injected into the AC. No complications were observed intra-operative and, post-operative 1-month follow-up.

Conclusions:

This technique helps overcome the possible complications of DMEK in the aphakic vitrectomized eye and provides good donor adhesion.

Financial Disclosure:

None