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DMEK: a suitable treatment of endothelial insufficiency after complicated vitreoretinal surgeries?

Poster Details

First Author: Z.Hlinomazova CZECH REPUBLIC

Co Author(s):    M. Vokrojova   L. Filipova   I. Fiser              

Abstract Details


Complex and sometimes repeated surgeries of the retina may lead to irreversible changes of the corneal endothelium. The authors present indications and complexity of the surgery �â�€�“ posterior lamellar transplantation - in these patients. The aim of this retrospective study was to evaluate surgical technique and outcomes of endothelial transplantations in patients after vitrectomy.


European Eye Clinic Lexum Prague, Czech Republic


The dataset comprised 15 patients after the surgery of the retina with subsequent endothelial insufficiency development. Mean age of patients, 12 men and 3 women, was 56.8 years (�Â�± 12 years). Evaluated parameters were peroperative, and early and late postoperative complications, best corrected visual acuity, endothelial cell density, and the technique of the surgery.


Peroperative complications: ocular hypotony in 15 patients, repeated small haemorrhage in the iridocorneal angle in 4 patients, lamella disappearance through iris coloboma in 2 cases. Early postoperative complications: necessity of rebubbling in 4 cases due to the presence of small bubbles of silicon oil under the lamella, and CME in 9 patients. Late postoperative complications: persisting CME in 3 patients. Best corrected visual acuity improved from mean hand motion light projection before the surgery to postoperative mean decimal value of 0.2. Three months postoperatively, the mean endothelial cell density was 1320 cells/mm2 (�Â�± 590 cells/mm2).


DMEK is a suitable menthod of endothelial insufficiency treatment even in patients after complicated vitreoretinal surgeries. The treatment of bullous keratopathy brings not only a functional effect but also a relief from chronic pain caused by trigeminal nerve irritation.

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