Descemetorhexis for Fuchs' dystrophy.

Abstract

OBJECTIVE:

To describe 2 cases of spontaneous corneal clearing after Descemetorhexis: 1 after iatrogenic trauma (Case 1) and 1 as an intentional surgical intervention for Fuchs endothelial dystrophy (Case 2).

METHODS:

Retrospective case reports.

RESULTS:

Full corneal clarity was observed to restore at approximately 1 month after surgery in both cases. Central endothelial cell counts were recorded as 753 and 731 cells/mm(2) in cases 1 and 2, respectively, at last follow-up. Best spectacle corrected visual acuity (BSCVA) at was 6/6 in both cases at 6 weeks and is retained at 9 months.

CONCLUSIONS:

Selective Descemetorhexis may offer visual rehabilitation without the need for a graft in select cases of Fuchs endothelial dystrophy. Descemetopexy in anticipation of corneal clearing is a viable initial strategy in cases of iatrogenic Descemet trauma with detachment.

• Authors: Gregory Moloney, U-Teng Chan, Alex Hamilton, Aida Mohd Zahidin, John R Grigg, Raj N Devasahayam
• Journal: Canadian journal of ophthalmology. Journal canadien d'ophtalmologie (Can J Ophthalmol) Vol. 50 Issue 1 Pg. 68-72 (Feb 2015) ISSN: 1715-3360 [Electronic] England
• PMID: 25677286 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.

Topics

• Aged
• Descemet Membrane (injuries, surgery)
• Endothelium, Corneal (pathology)
• Female
• Fuchs' Endothelial Dystrophy (surgery)
• Humans
• Iatrogenic Disease
• Microscopy, Confocal
• Middle Aged
• Ophthalmologic Surgical Procedures
• Phacoemulsification
• Retrospective Studies