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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Surgical management of corneal endothelial decompensation following athalamia after trabeculectomy and phacoemulsification: case report

Poster Details

First Author: K. Droutsas GREECE

Co Author(s):    A. Lazaridis   S. Souki   G. Kymionis   G. Bazikos   A. Diagourtas   D. Papakonstantinou     

Abstract Details


To describe the management of corneal endothelial decompensation in a case of extensive iridocorneal synechiae due to prolonged athalamia after trabeculectomy and phacoemulsification.


First Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece


A 71-year-old man presented with bullous keratopathy after trabeculectomy and phacoemulsification. Due to extensive central synechiae, no endothelial keratoplasty was feasible. Visual acuity (BCVA) was reduced to “hand movement”. Viscoelastic-assisted synechiolysis was performed leading to partial reformation of the anterior chamber. Subsequently, descemetorhexis combined with synehiectomy was performed in order to achieve total synechiolysis and proceed with DSAEK.


Successful DSAEK led to visualization of a fibrous membrane at the level of the pupil osbtructing the visual axis (BCVA was “counting fingers”). Removal of that membrane 1 month after DSAEK led to a rise of BCVA to 0.5.


The presented case illustrates a staged approach to an eye with extensive anterior synechiae which allowed the performance of endothelial keratoplasty with a satisfactory visual result from hand movement to BCVA 0.5.

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