Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

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

This Meeting has been awarded 27 CME credits


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Comparison of outcomes of DSEK and DMEK: case series of single surgeon

Poster Details

First Author: J. Ashar INDIA

Co Author(s):                        

Abstract Details


To compare of outcomes of DSEK or DMEK


Mumbai Eye Care, Cornea and LASIK Centre, single surgeon, private clinic set up


Retrospective analysis of records of patients with DSEK/ DMEK from January 2013 to December 2015, with at least 3 months of follow up was included in the study. 89 cases of DSEK and 40 DMEK were analyzed. Each group was divided into two subgroups- the initial cases (as a part of learning curve) and later cases.The initial 20 DSEK cases were done for PBK (16) or Fuchs dystrophy (4).While the later 79 cases were done for PBK-46,Fuchs-8,TASS-3, ICE Syndrome-2, Failed graft-4,CHED-2,Bee sting- 1,Post glaucoma -3.DMEK was performed in initial 10 cases for PBK-3, Fuchs-3,ICE Syndrome-2,Post glaucoma -2.


The surgical problems in initial DSEK cases included Graft getting trapped in wound-2, Air trapping behind the iris- 4, Graft pushed out of the eye-1,Graft perforation during preparation-1. Complications included Primary graft failure- 4,Graft detachment- 2,Rejection -3, Pupillary block – 3. The complications in later cases were Primary graft failure-5, Graft detachment-1, Rejection-4. Surgical problems in intial DMEK cases included Tissue tear during preparation-1.Tissue popping of the wound-1, difficult unrolling-4. The complications included Graft detachment- 1,Primary graft failure- 2. Later 30 cases were performed for PBK in 15 and Fuchs in 15. In DSEK meantime to achieve clarity was 3 weeks while it was 7 days in DMEK. Mean BCVA in DSEK was 6/18 and 6/9 in DMEK


DMEK has a steeper learning curve than DSEK. Corneal clarity improves rapidly with DMEK compared to DSEK. With experience the complications can be decreased in both surgeries.

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