Abstract | PURPOSE: SETTING: Tertiary referral center. DESIGN: Comparative case series. METHODS: The case notes of all phakic DMEK patients who subsequently had cataract surgery were reviewed, and data from a prospectively recorded database were analyzed. This included demographic details, visual acuity, corneal pachymetry, endothelial cell density (ECD), refractive outcomes, and complications. RESULTS: From a series of 106 consecutive phakic DMEK eyes, 5 eyes (4.7%) required phacoemulsification a mean of 9.2 months ± 3.7 (SD) (range 4 to 14 months) after the initial DMEK. All phacoemulsification procedures were uneventful, and no dislocations and/or detachments of the Descemet graft were observed. At 6 to 12 months, all eyes reached a corrected distance visual acuity of 20/30 (0.6) or better and were within ±0.50 diopter of the target refraction. Endothelial cell density decreased from a mean of 1535 ± 195 cells/mm(2) before phacoemulsification to 1158 ± 250 cells/mm(2) 6 to 12 months after phacoemulsification. No significant changes in pachymetry values were observed, and all corneas remained clear throughout the study. CONCLUSIONS:
Phacoemulsification after DMEK can be performed with minimal risk for graft detachment. The postoperative refractive outcomes were predictable, and visual acuity is likely to improve; there was an acceptable decrease in ECD. FINANCIAL DISCLOSURE: Dr. Melles is a consultant to D.O.R.C. International BV/Dutch Ophthalmic USA. No author has a financial or proprietary interest in any material or method mentioned.
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Authors | Fayyaz U Musa, Javier Cabrerizo, Ruth Quilendrino, Isabel Dapena, Lisanne Ham, Gerrit R J Melles |
Journal | Journal of cataract and refractive surgery
(J Cataract Refract Surg)
Vol. 39
Issue 6
Pg. 836-40
(Jun 2013)
ISSN: 1873-4502 [Electronic] United States |
PMID | 23571287
(Publication Type: Comparative Study, Journal Article)
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Copyright | Copyright © 2013 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved. |
Topics |
- Adult
- Cell Count
- Corneal Diseases
(surgery)
- Corneal Endothelial Cell Loss
(diagnosis)
- Corneal Pachymetry
- Descemet Stripping Endothelial Keratoplasty
- Feasibility Studies
- Female
- Humans
- Lens Implantation, Intraocular
- Male
- Middle Aged
- Phacoemulsification
- Postoperative Care
- Prospective Studies
- Pseudophakia
(physiopathology)
- Refraction, Ocular
(physiology)
- Treatment Outcome
- Visual Acuity
(physiology)
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