TY - JOUR
T1 - Non-descemet stripping Descemet membrane endothelial keratoplasty
AU - Park, Choul Yong
AU - Chuck, Roy S.
PY - 2013/12
Y1 - 2013/12
N2 - PURPOSE:: To report a case of non-Descemet stripping Descemet membrane endothelial keratoplasty (nDMEK) in a patient with pseudophakic bullous keratopathy. METHODS:: A 70-year-old man underwent an nDMEK in his right eye, which suffered from pseudophakic bullous keratopathy after a complicated cataract surgery was performed. Under local anesthesia, an 8-mm sized round Descemet membrane and endothelial cell graft (DMEK graft), harvested from an 85-year-old male donor cornea, were transplanted without stripping the recipient's Descemet membrane. The patient was examined at 1 week, 2 weeks, 3 weeks, 4 weeks, 2 months, 4 months, and 6 months after the surgery took place. Optical coherence tomography, Scheimpflug imaging (Pentacam, Oculus), and specular microscopy were performed. RESULTS:: Graft detachment was observed at 1 and 2 weeks after the surgery, but this was successfully resolved with C3F8 gas tamponade in the anterior chamber. Thereafter, no graft detachment was observed, and the cornea remained clear 6 months after the surgery. The best-spectacle corrected visual acuity was improved from 20/100 to 20/25, and central corneal pachymetry was improved from 713 to 570 μm. No ocular complication was detected at the final visit. CONCLUSIONS:: An nDMEK was successfully performed in a patient with pseudophakic bullous keratopathy and resulted in a good visual outcome.
AB - PURPOSE:: To report a case of non-Descemet stripping Descemet membrane endothelial keratoplasty (nDMEK) in a patient with pseudophakic bullous keratopathy. METHODS:: A 70-year-old man underwent an nDMEK in his right eye, which suffered from pseudophakic bullous keratopathy after a complicated cataract surgery was performed. Under local anesthesia, an 8-mm sized round Descemet membrane and endothelial cell graft (DMEK graft), harvested from an 85-year-old male donor cornea, were transplanted without stripping the recipient's Descemet membrane. The patient was examined at 1 week, 2 weeks, 3 weeks, 4 weeks, 2 months, 4 months, and 6 months after the surgery took place. Optical coherence tomography, Scheimpflug imaging (Pentacam, Oculus), and specular microscopy were performed. RESULTS:: Graft detachment was observed at 1 and 2 weeks after the surgery, but this was successfully resolved with C3F8 gas tamponade in the anterior chamber. Thereafter, no graft detachment was observed, and the cornea remained clear 6 months after the surgery. The best-spectacle corrected visual acuity was improved from 20/100 to 20/25, and central corneal pachymetry was improved from 713 to 570 μm. No ocular complication was detected at the final visit. CONCLUSIONS:: An nDMEK was successfully performed in a patient with pseudophakic bullous keratopathy and resulted in a good visual outcome.
KW - bullous keratopathy
KW - cornea
KW - Descemet
KW - DMEK
KW - DSAEK
KW - endothelial keratoplasty
UR - http://www.scopus.com/inward/record.url?scp=84888138980&partnerID=8YFLogxK
U2 - 10.1097/ICO.0b013e3182a6d0cb
DO - 10.1097/ICO.0b013e3182a6d0cb
M3 - Article
C2 - 24097182
AN - SCOPUS:84888138980
SN - 0277-3740
VL - 32
SP - 1607
EP - 1609
JO - Cornea
JF - Cornea
IS - 12
ER -