Toric Iol In Combined Dmek And Cataract Surgery
Published 2023 - 41st Congress of the ESCRS
Reference: PP08.03 | Type: Free paper | DOI: 10.82333/eefg-fq34
Authors: Bruno Trindade* 1
1Ophthalmology,Feluma Medical School,Belo Horizonte,Brazil;Cançado-Trindade Eye Institute,Belo Horizonte,Brazil
Purpose
To analyze the results of consecutive cases in which a toric IOL was used to treat corneal astigmatism in combined cataract and DMEK surgery in patients with Fuchs Endothelial Corneal Dystrophy.
Setting
Single center private practice
Methods
This is a retrospective study in which four eyes of three consecutive patients with mild to moderate Fuchs endothelial dystrophy that were submitted to DMEK triple surgery using a toric IOL were included.
Results
Preoperative corneal astigmatism centroid was 1.72 D @ 2º ± 1.78 D. Six months after surgery, postoperative mean UCDVA improved to LogMAR 0.12 ± 0.04, refractive astigmatism centroid at corneal plane was 0.09 D @ 125º ± 0.53 D, and mean central endothelial cell count was 1604 ± 236 cell/mm2.
Conclusions
The use of toric IOL in combined cataract and DMEK surgery may provide good uncorrected visual acuity and reduced postoperative refractive astigmatism in patients with Fuchs endothelial corneal dystrophy.