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Endothelial keratoplasty for the treatment of endothelial dysfunction associated with anterior corneal opacity

Poster Details

First Author: A.Moriyama BRAZIL

Co Author(s):    P. Serapicos   N. Pereira   A. Forseto              

Abstract Details

Purpose:

To evaluate the outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) for the treatment of endothelial cell dysfunction associated preoperatively with anterior stromal opacity.

Setting:

Banco de Olhos de Sorocaba, Brazil

Methods:

Five patients with longstanding corneal endothelial dysfunction associated with anterior stromal opacification with a maximum depth of 150┬Ám underwent DSAEK. Such patients would normally be listed for penetrating keratoplasty. Patients were evaluated with complete ocular exam and Visante anterior segment optic coherence tomography (AS-OCT) pre and post operatively.

Results:

All the patients had significant improvement of best corrected visual acuity (BCVA) and decrease in intensity and depth of stromal opacification 3 months after surgery. One patient had complete resolution of opacification and 2 had BCVA of 20/30. One patient had restricted vision possibly related to DSAEK interface irregularity and one patient remained with significant corneal haze with phototherapeutic keratectomy indication.

Conclusions:

Endothelial keratoplasty might be an alternative therapeutic procedure to penetrating keratoplasty in cases of endothelial dysfunction associated to anterior stromal opacities.

Financial Disclosure:

NONE

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