Posters

Intraocular pinhole implantation and DMEK in failed irregular penetrating keratoplasty

Poster Details

First Author: B.Trindade BRAZIL

Co Author(s):    F. Trindade   C. Trindade                 

Abstract Details

Purpose:

To report the outcomes of the use of an intraocular pinhole associated with DMEK to treat a failed irregular penetrating corneal graft with irregular astigmatism associated with a dense cataract.

Setting:

Cançado Trindade Eye Institute

Methods:

The left eye of a 63 year-old woman had a failing penetrating graft and dense white cataract limiting vision to counting fingers. Surgery included phacoemulsification with implantation of an intraocular pinhole followed by DMEK endothelial graft. A subtotal graft detachment was noticed in the initial postoperative period and graft re-bubble was carried out 1 week after initial procedure.

Results:

Graft attachment was achieved after rebubbling with corneal clearing. The intraocular pinhole remained stable and well centered. By three months, visual acuity improved from counting fingers to 20/40 and J2 uncorrected.

Conclusions:

Intraocular pinhole implantation can improve irregular corneal astigmatism. It may expand the possibility of treating a failed penetrating graft with endothelial keratoplasty.

Financial Disclosure:

... receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented