Posters

Descemetorhexis without endothelial keratoplasty (DWEK) for Fuchs' dystrophy: when less is more

Poster Details

First Author: M.Iradier SPAIN

Co Author(s):    N. Gentile Cabrera   M. Cruz Fernández   M. Ariño Gutierrez              

Abstract Details

Purpose:

To describe our technique of Descemetorhexis without endothelial keratoplasty  (DWEK) as a treatment for symptomatic Fuchs Dystrophy.

Setting:

Iradier Eye Clinic

Methods:

Combined phacoemulsification, posterior chamber lens implantation and a 4 mm central descemetorhexis was performed. Inclusion criteria were visual acuity lower than 20/50, advanced central guttae with healthy peripheral endothelial cells and cataract. Ripasudil (Glanatec 0.4%) was used as an adjuvant in slow responders.

Results:

Corneal clearence was observed by 3 months after DWEK with significant improvement in VA. Endothelial cell migration and repopulation was confirmed by specular microscopy. Anterior segment OCT showed recovery of pachymetry to normal values.

Conclusions:

Descemetorhexis without endothelial keratoplasty (DWEK) can rehabilitate vision in Fuchs dystrophy and by the addition of ROCK inhibitors would probably have a feasible role in the treatment of select cases.

Financial Disclosure:

None