Descemet membrane endothelial keratoplasty with stromal rim (DMEK-S) in complicated patients

Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
Pavel StudenyDeli Krizova

Abstract

To evaluate the outcomes of the hybrid technique of posterior lamellar keratoplasty (Descemets' membrane endothelial keratoplasty with stromal rim, DMEK-S) in eyes with multiple ocular pathologies. A retrospective case control study of the consecutive group of all eyes with combined ocular pathologies which underwent DMEK-S keratoplasty. We evaluated the number of pre- and post-operative complications; uncorrected distance visual acuity (UDVA); corrected distance visual acuity (CDVA) and endothelial cell density (ECD). The first group (Group 1 - 100 eyes) was compared to a control group of eyes (Group 2 - 145 eyes) without combined ocular pathologies, which were operated throughout the same time period. Comparisons were made in the 12th month of the follow-up. Both the UDVA and the CDVA statistical values 12 months after the surgery were significantly better in Group 2. ECD was comparable in both groups. The number of complications during surgery was considerably higher in Group 1, where a certain type of complication occurred in 15 eyes (15%), while in Group 2 this complication occurred only in 9 eyes (6.2%). In Group 1 a slightly higher number of rebubbling cases (52% vs. 48.3%) occurred, as well as more than twice as many ca...Continue Reading

References

Apr 26, 2002·Journal of Cataract and Refractive Surgery·Mohammed Anwar, Klaus D Teichmann
Nov 15, 2006·Cornea·Mark S Gorovoy
Nov 15, 2006·Cornea·Gerrit R J MellesJacqueline van der Wees
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Sep 29, 2009·Journal of Cataract and Refractive Surgery·Matthew B McCauleyMarianne O Price
Oct 24, 2009·The British Journal of Ophthalmology·Pavel StudenyKaterina Jirsova
Nov 13, 2010·Clinical & Experimental Ophthalmology·Bryan S LeeAlbert S Jun
Dec 25, 2010·The British Journal of Ophthalmology·Carlindo Da Reitz PereiraMarianne O Price
Nov 23, 2011·American Journal of Ophthalmology·Natalie A AfshariMark M Fernandez
Jul 11, 2013·Journal of Ophthalmology·Pavel StudenyPavel Kuchynka
Nov 8, 2014·Cornea·Efdal YoeruekKarl-Ulrich Bartz-Schmidt

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