Posters

Comparison of Descemet's membrane endothelial keratoplasty (DMEK) with Descemet's stripping automated endothelial keratoplasty (DSAEK) in terms of visual acuity, endothelial counts and central corneal thickness

Poster Details

First Author: R.Bang INDIA

Co Author(s):    M. Bang   R. Gandhi                 

Abstract Details

Purpose:

To compare visual rehabilitation after Descemet membrane endothelial keratoplasty(DMEK) & Descemet stripping automated endothelial keratoplasty(DSAEK) for Fuchs endothelial dystrophy.

Setting:

Shri Krishna Netralaya.

Methods:

104 eyes of 104 patients undergoing DMEK were retrospectively analyzed & compared with 104 eyes of 104 DSAEK patients. Parameters assessed were best spectacle corrected visual acuity (BSCVA), subjective refraction, central corneal thickness (CCT) and endothelial cell density (ECD).

Results:

Preoperative median BSCVA was 0.7 for both groups. At 3 months, median BSCVA was 0.0 after DMEK & 0.3 after DSAEK. Spherical equivalent changed after DMEK from 0.0D to 0.35D & after DSAEK from -0.32 D to 1.12D.CCT decreased from 718 microns to 521 after DMEK & from 768 to 612microns after DSAEK.ECD reduced from 2448 /sqmm to 1333 after DMEK & from 2348 /sqmm to 1648 /sqmm after DSAEK.

Conclusions:

DMEK patients showed faster visual rehabilitation & higher BSCVA. However, decline in grafts ECD and change in spherical equivalent were similar for both procedures.

Financial Disclosure:

None