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Patients with Fuchs and cataract undergoing DSAEK and phacoemulsification: staged versus combined procedures

Poster Details

First Author: E.Sykakis UK

Co Author(s):    F. Lam   P. Georgoudis   R. Karim   S. Hamada   D. Lake  

Abstract Details


To compare the surgical outcomes of staged and combined Phacoemulsification and DSAEK in patients with Fuch's endothelial dystrophy and cataract.


Corneoplastic Unit and Eye Bank, Queen Victoria Hospital, East Grinstead, UK.


Retrospective study of patients who had phacoemulsification followed within 3 months by DSAEK (group 1) or combined phacoemulsification and DSAEK (group 2). Patients who had previous eye surgery or any other ocular comorbidities were excluded.


There were 38 eyes in group 1 and 30 in group 2. There were no significant differences in the demographics and corneal tissue characteristics of the two groups. The endothelial disc dislocation and rebubbling rate within 1 week in group 1 was 10.5% while in group 2 was 33% (p=0.03), while the endothelial cell density was 1467±430SD for group 1 and 1650±318 for group 2 (p=0.1). The mean 12 month logMAR visual acuity was 0.43±0.38SD for group 1 and 0.34±0.29SD for group 2 (p=0.08). The overall graft failure rate at 12 months was 7.9% for group 1 and 3.3% for group 2 (p=0.6).


Although the combined procedure seems to be associated with a higher complication rate the final outcomes seem to be similar in both methods. FINANCIAL INTEREST: NONE

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