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Endothelial keratoplasty in eyes with an angle-supported anterior chamber intraocular lens

Poster Details

First Author: S. Souki GREECE

Co Author(s):    A. Lazaridis   G. Stamou   A. Mouchtouris   C. Koutsandrea   K. Droutsas  

Abstract Details

Purpose:

Aim of the present study is to analyze outcomes of endothelial keratoplasty (EK) in the presence of an angle-supported intraocular lens (IOL).

Setting:

Cornea Department of the Athens University Eye Clinic, Athens, Greece

Methods:

Twelve consecutive EK procedures (6 Descemet membrane endothelial keratoplasty (DMEK) and 6 Descemet stripping automated endothelial keratoplasty (DSAEK)) of eyes with corneal endothelial decompensation in the presence of an angle-supported IOL and a minimum follow-up of 6 months were included. Corrected distance visual acuity (CDVA), biomicroscopy, tonometry, and endothelial microscopy were performed preoperatively and at 6 months after surgery. Intraoperative and postoperative complications were recorded.

Results:

Twelve eyes of one woman and 11 men undergoing EK (DMEK, n=6 and DSAEK, n=6), were included. Concomitant eye conditions included a history of traumatic cataract extraction (n=4), pars-plana vitrectomy for penetrating ocular injury (n=2), glaucoma (n=2), amblyopia (n=1) and superficial stromal scar after microbial keratitis (n=1). Preoperative CDVA was counting fingers or less in all cases. At 6 months, CDVA ranged between hand movement and 0.5, while half of eyes reached a CDVA better than 0.05. Postoperatively, significant macular pathology was detected in 3 cases. Primary graft failure, immunologic rejection and infectious endophthalmitis occurred in one case respectively.

Conclusions:

Our results suggest that EK in the presence of an angle-supported IOL, is feasible despite the absence of an iris-lens diaphragm. Notably, all eyes included in the present study were legally blind prior to EK. Thus, although both pre-existing pathology and postoperative complications may have limited the visual outcome in our series, a rise of visual acuity over the threshold of legal blindness could be achieved in half of the cases undergoing EK. FINANCIAL DISCLOUSRE: NONE

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