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Femtosecond laser-assisted cataract surgery combined with Descemet's membrane endothelial keratoplasty

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Session Details

Session Title: Presented Poster Session: FLACS

Session Date/Time: Monday 07/09/2015 | 15:00-16:30

Paper Time: 16:20

Venue: Poster Village: Pod 1

First Author: : N.Cesario Pereira BRAZIL

Co Author(s): :    A. Dos Santos Forseto   J. Pereira Gomes   R. Cunha Filho   W. Nose     

Abstract Details


To describe the results of femtosecond laser assisted cataract surgery (FLACS) combined with Descemet Membrane Endothelial Keratoplasty (DMEK).


All surgeries and the study were carried out at Sorocaba Eye Bank, Sorocaba, Brazil.


Retrospective review of ten patients with Fuchs Distrophy and cataract that underwent FLACS combined with DMEK. Prior to surgery , a deturgescent agent (glycerol drops) was instilled on the cornea. The primary and secondary incisions, capsulorhexis and lens fragmentation were performed with LensX® femtosecond laser platform. The laser energy settings were higher than conventional cataract surgery with femtosecond laser due to the presence of corneal edema. The Infinity® phacoemulsification system was used for nucleus aspiration. After intraocular lens insertion and viscoelastic aspiration, the stripping of the Descemet Membrane was performed, the donor tissue inserted and positioned. Clinical results were described.


Incision related complications were observed in two eyes: in one case the secondary incision was not completed due to vaccum loss at the end of the procedure, and in the other one it could not be opened due to its location posterior to the limbus. Capsulorhexis' tags occured in another patient but it was manually completed with no further complications. In this eye, the lens fragmentation was not completed at the same quadrant of the capsulorhexis' tags. No postoperative complications were noted. At 1 month after surgery, all eyes had best corrected distance visual acuity of 20/30 or better.


Femtosecond laser assisted cataract surgery combined with Descemet Membrane Endothelial Keratoplasty is a safe procedure for eyes with both cataract and endothelial dysfunction. The presence of edematous cornea does not prevent the use of the femtosecond laser even though higher energy settings may be necessary.

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