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.
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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)
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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
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