To Compare Objective And Subjective Outcomes After Descemet Membrane Endothelial Keratoplasty (Dmek) And Descemet Stripping Automated Endothelial Keratoplasty (Dsaek) In The Fellow Eye Of The Same Patients
Published 2026 - 44th Congress of the ESCRS
Reference: POCOR264 | Type: Free paper | DOI: 10.82333/5q72-cr96
Authors: Dr Rohit Ramgopal Bang* 1 , Dr Manasi Bang 1
1CORNEA AND REFRACTIVE SERVICES,SHRI KRISHNA NETRALAYA,SAMBHAJINAGAR,India
Purpose
To compare objective and subjective outcomes after Descemet membrane endothelial keratoplasty (DMEK) and Descemet stripping automated endothelial keratoplasty (DSAEK) in the fellow eye of the same patients
Setting
: Single-center, retrospective case series
Methods
Seventeen patients with bilateral Fuchs endothelial dystrophy who underwent DSAEK earlier in 1 eye, and later underwent DMEK in the contralateral eye, Outcome measures included best spectacle-corrected visual acuity (BSCVA) and endothelial cell density (ECD)
Results
Preoperative BSCVA (logMAR) was similar in both groups, 0.66 ± 0.4 in DMEK and 0.59 ± 0.4 in DSAEK (P [ .6).The DMEK group showed better BSCVA than the DSAEK group at the 6-month time point (0.25 ± 0.1 and 0.39 ± 0.1, for DMEK and DSAEK, respectively,P[ .02). Preoperative ECD (cells/mm2 ) was similar in both groups (2647 ± 249 and 2768 ± 404, P [ .3) in DMEK and DSAEK, respectively. There was statistically significant difference found in ECD at 6 months (2227 ± 565 for DMEK and 1780 ± 433 for DSAEK, P [ .049). Subjective level of average satisfaction after DMEK was 6 and after DSAEK was 4.87 ± 1.19 (P [ .002)
Conclusions
DMEK provided better visual outcome and lower endothelial cell loss than DSAEK and a higher level of patient satisfaction when assessed at 6 months after surgery. Our results comparing the 2 procedures in the same patients support the benefits of DMEK