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Planned Descemetorhexis without endothelial keratoplasty in eyes with Fuchs' corneal endothelial dystrophy

Poster Details

First Author: A.Saad FRANCE

Co Author(s):    R. Courtin   C. Panthier   D. Gatinel              

Abstract Details


The objective of this work was to describe the clinical course in Fuchs dystrophy where the central Descemet membrane was removed and not replaced with donor tissue.


Rothshild Foundation, Paris, France


6 eyes of 4 patients with Fuchs endothelial dystrophy associated with cataract had a 4mm intraoperative OCT guided descemetorhexis without endothelial keratoplasty simultaneously with phacoemulsification of the lens and IOL implantation.


In all cases, endothelial cells repopulated the majority of the descemetorhexis area within about 5 months. Pre-operative best corrected visual acuity (BCVA) was 0.6 � 0.2 LogMar. All patients reached a 20/20 (0 LogMar) post operative BCVA at 5 months. Central pachymetry measured with an anterior segment OCT decreased from 605 � 18 microns to 536 � 29 microns.


Endothelial Keratoplasty might be delayed in early central Fuch dystrophy with moderate corneal edema and a careful descmetorhexis might represent an alternative treatment

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