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Descemet's membrane endothelial keratoplasty after failed penetrating keratoplasty

Poster Details

First Author: E.Infantes Molina SPAIN

Co Author(s):    J. Celis Sanchez   D. Mesa Varona   E. Avendano Cantos   L. Alfaya Munoz   M. Pradas Gonzalez   F. Gonzalez del Valle

Abstract Details

Purpose:

To analyze graft survival and postsurgical complications of Descemet's Membrane Endothelial Keratoplasty (DMEK) under a previous failed penetrating keratoplasty (PK).

Setting:

La Mancha Centro Hospital, Alcázar de San Juan

Methods:

Analysis of 6 eyes of 6 patients with prior failed PK who underwent DMEK with a minimum of 6 months follow-up. Outcomes measured included visual acuity, postoperative complications and time of graft survival. All cases were pseudophakic prior the DMEK.

Results:

6 eyes of 6 patients were studied. An improvement in visual acuity, 6 eyes had change in vision from preoperative data (0.1 to 0.6). The primary dislocation rate of the graft was 20%. The successful anatomic attachment was 100% in 6 months follow-up, the graft rejection rate was 0 at 6 months. All eyes are been treated with Fluorometholone ophthalmic after 6 months surgery.

Conclusions:

DMEK after failed PK demonstrated improved vision these 6 eyes with a low complication rate. There is not published series about DMEK after failed PK. FINANCIAL DISCLOUSRE: NONE

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