ESCRS - PO753 - The Outcomes Of The First 46 Patients Underwent Endothelial Keratoplasty In Algeria: 04 Years Follow- Up

The Outcomes Of The First 46 Patients Underwent Endothelial Keratoplasty In Algeria: 04 Years Follow- Up

Published 2024 - 42nd Congress of the ESCRS

Reference: PO753 | Type: Free paper | DOI: 10.82333/r82j-rk70

Authors: Saad Leboukhe* 1 , Mounir Relila 2

1Ophthalmology ,military Regional University d'Oran ,Oran ,Algeria, 2Ophthalmology ,Military regional university of Constantine , Constantine ,Algeria

Purpose

The purpose of this study is to assess indications, refractive outcomes, endothelium cell density (ECD), graft survival, and complications related to the first 46 cases of Descemet’s Stripping Automated Endothelial Keratoplasty (DSAEK) and deep membrane endothelial keratoplasty (DMEK) achieved in Algeria. 

Setting

Department of ophthalmology, military university hospital of Constantine, Algeria.

Department of ophthalmology, military university hospital of Oran, Algeria.

Methods

In this retrospective study, 46 patients were enrolled between December 2017 and December 2023. A pre-and post-operative complete ophthalmologic examination was done. The data were collected on demographic characteristics, pathology, best corrected visual acuity (BSCVA), post-operative astigmatism, central thickness of the graft measured using OCT. the endothelium cells density was checked at 01 year, 03 years, and 04 years.

Results

 
The results obtained after having analyzed the data demonstrate that mean age is limited between (71,95 ±10,16) years. Females (47,9 %) versus  males (52,1%). Tendothelial dysfunction was secondary to: cataract surgery in 86,9%, graft failure in 13%, Fuchs’ dystrophy in 2,2%, myopic Artisan IOL in 2,2%. DSAEK was performed in 84,50%, DMEK in 15,50%, Combined surgery in 15,20 %. The mean of BSCVA in log Mar at 01,03 and 04 years was (0,62± 0,22), (0,39±0,28) and (0,37±0,25), respectively.  Endothelial cell loss was in 01, 03 and 04 years:  41,18% ,43,46%, and 52,32%, respectively.
Graft survival was 93,47 % at 01 year, 87% at 03 years and 77,78% at 04 years. Graft detachment occurred in 05 cases, 03 attached successfully after rebubbling.  

Conclusions

endothelial keratoplasty is becoming the gold standard for the surgical treatment of corneal endothelium dysfunction without important stromal scars. This procedure allows short period of recovery, rapid visual rehabilitation with low astigmatism and less complications comparing to PK.