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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Keratometric and refractive changes after Descemet's membrane endothelial keratoplasty

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Session Details

Session Title: Presented Poster Session: Surgical Cornea

Session Date/Time: Saturday 10/09/2016 | 15:00-16:30

Paper Time: 15:10

Venue: Poster Village: Pod 3

First Author: : R.Courtin FRANCE

Co Author(s): :    P. Zeboulon   C. Panthier   D. Gatinel   A. Saad     

Abstract Details

Purpose:

The purpose of this study was to evaluate the keratometric and refractive changes after Descemet membrane endothelial keratoplasty (DMEK).

Setting:

Rothschild Foundation, Paris, France

Methods:

In a prospective observational study, we analyzed the visual and refractive outcomes of 31 cases of DMEK surgery performed at the Rothschild Foundation, Paris, France, between February 2013 and December 2015. Only DMEK performed for Fuchs endothelial dystrophy and pseudophakic bullous keratopathy without comorbidities were included. Best spectacle corrected visual acuity (BSCVA), manifest refraction, anterior and posterior corneal curvature and corneal tomography were obtained. Postoperative data were collected at 1, 3 and 6 months.

Results:

31 DMEK procedures of 25 patients (15 women and 10 men) were included. The mean age was 66.8 ± 10.0 years (45 to 83 years). Twenty-six eyes were treated for Fuchs endothelial dystrophy (of which 6 were phakic and 20 pseudophakic) and five for pseudophakic bullous keratopathy. Preoperative and 6 months post operative mean BSCVA (logMAR) was 0.62 ± 0.45 and 0.13 ± 0.13 respectively. The mean change in manifest refraction spherical equivalent (MRSE) at 6 months postoperatively was +0.63 ± 1.03 D. At 6 months, the mean change in anterior and posterior corneal curvatures were respectively -0.31 ± 0.69 D and -0.60 ± 0.31 D.

Conclusions:

DMEK surgery provides excellent visuals outcomes for patients with Fuchs dystrophy or pseudophakic bullous keratopathy and induces a hyperopic refractive shift requiring to be considered in the intraocular lens power calculation in DMEK combined with phacoemulsification surgery.

Financial Disclosure:

NONE

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