DMEK in challenging cases

Session Details

Session Title: Cornea: Surgical I

Session Date/Time: Tuesday 08/09/2015 | 08:00-10:30

Paper Time: 09:06

Venue: Room 10

First Author: : A.Saad FRANCE

Co Author(s): :    E. Guilbert   D. Gatinel                 

Abstract Details

Purpose:

To describe the results of DMEK surgeries in the presence of an anterior chamber IOL and post failed penetrating keratoplasty.

Setting:

Rothschild Foundation, Paris, France

Methods:

Prospective, observational case series of 30 eyes of 30 patients undergoing a DMEK surgery at the author's institution by a single surgeon. The endothelio-Descemet graft was manually prepared in the operating room and was inserted in the receiver Anterior Chamber using a dedicated single use injector after removal of the recipient Descemet membrane. All the surgeries were recorded. Clinical outcomes at 1,6 and 12 were obtained.

Results:

Twenty patients had DMEK surgery in the presence of an anterior chamber IOL (AC-IOL) and 10 patients had DMEK following a failed Penetrating Keratoplasty (PK). In both groups, 30% of the patients achieved a BCVA of 0.32 LogMar or better and all patients improved their VA by at least 2 lines. The average post-operative ECD was 1570 cells/mm2 in the post AC-IOL group and 1650 cells/mm2 in the post PK group. Mean unfolding time was 12 +/- 7 minutes in the post AC-IOL group and 8 +/- 5 mn in the post PK group. Most patients had comorbidities limiting improvement of the VA. Primary graft failure occurred in one patient in the presence of an AC-IOL.

Conclusions:

DMEK might be a good option for patients suffering of corneal decompensation in the presence of an AC-IOL or post PK. In most cases, the AC-IOL might be maintained with good results.

Financial Interest:

NONE