Transplantation of endothelium and descemet membrane for aphakic corneal edema in 1980.

Abstract

PURPOSE:

To describe a corneal endothelial layer and Descemet membrane transplantation into the anterior chamber for the treatment of bullous keratopathy in 1980.

METHODS:

A retrospective report of an intervention case study is presented. A patient with aphakic bullous keratopathy in one eye was interested in undergoing a previously untested corneal transplantation procedure. Snellen visual acuity testing and slit-lamp examination were performed. The main outcome measures were visual acuity and degree of corneal clarity.

RESULTS:

Visual acuity and corneal clarity improved in the months following the endothelial/Descemet membrane transplant but gradually returned to preoperative levels 1 year later. A subsequent successful penetrating keratoplasty resulted in excellent visual acuity (-20/25).

CONCLUSIONS:

An attempt to perform endothelial and Descemet membrane transplantation for aphakic corneal edema in 1980 resulted in early improvement in corneal clarity and visual acuity but required full penetrating keratoplasty at 2 years postoperatively. [J Refract Surg. 2010;26(7):525-528.] doi:10.3928/1081597X-20090910-01

• Authors: Kenneth J Hoffer, John D Hofbauer
• Journal: Journal of refractive surgery (Thorofare, N.J. : 1995) (J Refract Surg) Vol. 26 Issue 7 Pg. 525-8 (Jul 2010) ISSN: 1081-597X [Print] United States
• PMID: 19772222 (Publication Type: Journal Article)

Topics

• Aphakia, Postcataract (physiopathology, surgery)
• Cornea (physiopathology)
• Corneal Edema (physiopathology, surgery)
• Descemet Membrane
• Endothelium, Corneal (transplantation)
• Humans
• Keratoplasty, Penetrating
• Refraction, Ocular (physiology)
• Retrospective Studies
• Suture Techniques
• Tissue Donors
• Visual Acuity (physiology)