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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Cystoid macular edema (CME) after pre-cut Descemet's stripping automated endothelial keratoplasty (DSAEK): comparison of simple and triple procedures

Poster Details

First Author: J. Torras SPAIN

Co Author(s):    A. Camos-Carreras   A. Gonzalez-Ventosa   J. Matas   N. Sabater-Cruz           

Abstract Details


To determine if cataract surgery associated to DSAEK procedures increase the risk of developing CME in postoperative period.


Surgeries were performed at Hospital Clinic of Barcelona. University of Barcelona (Spain). Lamellar tissue was pre-cut at BTB (Barcelona Tissue Bank).


Retrospective review of 50 consecutive DSAEK procedures from 37 patients performed between 2012 and 2015 by the same surgeon (first author) was done. The procedures were classified in 2 groups: 22 eyes received a simple DSAEK procedure (group 1) and 22 eyes received new triple procedure of DSAEK with cataract surgery simultaneously (group 2). The series is completed with 6 cases re-grafted after primary or late failure. CME was considered when a significant visual loss was clinically correlated with Optical Coherence Tomography (OCT) pathologic macular thickness and not with anterior segment complications.


Indications for DSAEK procedure were Fuchs Endothelial Dystrophy -FED-( 60%), Bullous keratopathy after cataract, retina or Anterior Chamber Intraocular Lens surgeries (28%) and the previous mentioned graft failures (12%). Global prevalence of CME was 20% (10 cases) but if we exclude re-grafts this data increases to 22.7%: 8 cases in group 1 (6 with previous CME or other risk factors) and 3 cases in group 2 all of them without risk factors. Excluding patients with risk factors 2 out of 16 (12.5%) in group 1 and 3 out of 22 (13.6%) developed CME respectively.


No significant differences in developing clinical CME were found between simple DSAEK group and new triple DSAEK procedure group (DSAEK and simultaneous cataract surgery).

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