TY - JOUR
T1 - Descemet membrane endothelial keratoplasty in multifocal pseudophakic eyes
AU - Pereira, Nicolas Cesário
AU - Diniz, Evandro Ribeiro
AU - Ghanem, Ramon Coral
AU - Filho, Ruy Cunha
AU - Prazeres, Tatiana Moura
AU - Nose, Walton
AU - Forseto, Adriana dos Santos
N1 - Publisher Copyright:
© 2018, Conselho Brasileiro De Oftalmologia.
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Purpose: This report describes the use of Descemet membrane endothelial keratoplasty for the management of endothelial decompensation after multifocal intraocular lens implantation. Methods: In this retrospective study, we reviewed and assessed the surgical outcomes of 9 patients (9 eyes) who underwent Descemet membrane endothelial keratoplasty after multifocal intraocular lens implantation. Results: Corneal edema occurred due to Fuchs endothelial corneal dystrophy (n=3), pseudophakic bullous keratopathy (n=3), Descemet's membrane detachment (n=2), and toxic anterior segment syndrome (n=1). The Descemet membrane endothelial keratoplasty surgeries were uneventful in all eyes, but rebubbling procedures were necessary in 2 eyes. One month after the surgery, all the corneas were clear. After 6 months, excluding 1 eye with amblyopia, the mean distance corrected visual acuity was 0.10 logMAR, with all eyes achieving 0.18 logMAR or better. Conclusions: This is the first report of Descemet membrane endothelial keratoplasty after multifocal intraocular lens implantation, and it suggests that good results can be achieved without multifocal intraocular lens exchange.
AB - Purpose: This report describes the use of Descemet membrane endothelial keratoplasty for the management of endothelial decompensation after multifocal intraocular lens implantation. Methods: In this retrospective study, we reviewed and assessed the surgical outcomes of 9 patients (9 eyes) who underwent Descemet membrane endothelial keratoplasty after multifocal intraocular lens implantation. Results: Corneal edema occurred due to Fuchs endothelial corneal dystrophy (n=3), pseudophakic bullous keratopathy (n=3), Descemet's membrane detachment (n=2), and toxic anterior segment syndrome (n=1). The Descemet membrane endothelial keratoplasty surgeries were uneventful in all eyes, but rebubbling procedures were necessary in 2 eyes. One month after the surgery, all the corneas were clear. After 6 months, excluding 1 eye with amblyopia, the mean distance corrected visual acuity was 0.10 logMAR, with all eyes achieving 0.18 logMAR or better. Conclusions: This is the first report of Descemet membrane endothelial keratoplasty after multifocal intraocular lens implantation, and it suggests that good results can be achieved without multifocal intraocular lens exchange.
KW - Corneal transplantation
KW - Descemet membrane
KW - Descemet membrane endothelial keratoplasty
KW - Fuchs endothelial dystrophy
KW - Intraocular lens implants
UR - http://www.scopus.com/inward/record.url?scp=85048659996&partnerID=8YFLogxK
U2 - 10.5935/0004-2749.20180039
DO - 10.5935/0004-2749.20180039
M3 - Artículo
C2 - 29924204
AN - SCOPUS:85048659996
SN - 0004-2749
VL - 81
SP - 183
EP - 187
JO - Arquivos Brasileiros de Oftalmologia
JF - Arquivos Brasileiros de Oftalmologia
IS - 3
ER -