Artificial Endothelium (Endoart) Implantation For Painful Corneal Decompensation: A Palliative Alternative In A Multimorbid Patient
Published 2026 - 44th Congress of the ESCRS
Reference: POCOR275 | Type: Poster | DOI: 10.82333/d1dv-9a54
Authors: Ms Sandra Fernández Combarro* 1 , Ms Claudia Klein Burgos 1 , Ms Isabel Inmaculada Guedes Guedes 1 , Mr Julio Pérez Zaballos 1 , Mrs Eduardo Jerez Olivera 1 , Mr Julio Pérez Álvarez 1
1Complejo Hospitalario Universitario Insular-Materno Infantil de Canarias,Las Palmas de Gran Canaria,Spain
Purpose
To evaluate the clinical outcome of artificial endothelium (EndoArt) implantation for pain control in advanced corneal decompensation in an eye without visual potential and at high surgical risk, as a palliative therapeutic alternative.
Setting
Tertiary referral center, Department of Ophthalmology.
Methods
Case report of an 88-year-old male with left eye corneal decompensation and no light perception since 2020. Ocular history included bilateral cataract surgery, bilateral trabeculectomies, diode laser cycloablation in the left eye, and prior corneal cross-linking. The patient developed painful bullous keratopathy refractory to medical therapy. Due to poor visual prognosis and high rejection risk with keratoplasty, EndoArt implantation was performed for palliative purposes. Pain control, anterior segment OCT findings, and intra- and postoperative complications were assessed.
Results
Surgery was completed without intraoperative complications, and no rebubbling was required. Early postoperative follow-up showed resolution of epithelial edema and complete pain relief. Anterior segment OCT confirmed correct implant apposition and significant reduction of corneal edema. During follow-up, the patient remained asymptomatic, with no pain recurrence or implant-related complications.
Conclusions
EndoArt implantation appears to be a safe and effective option for pain control in eyes without visual potential and advanced corneal decompensation. In elderly, multiply operated patients, it may avoid more aggressive surgical procedures while providing ocular surface stability and meaningful improvement in quality of life.