Utility of Intraoperative OCT in a Descemet's membrane endothelial keratoplasty (DMEK) with corneal opacity
First Author: N.Estebanez Corrales SPAIN
Co Author(s): J. Artaechevarria Artieda N. Alejandre Alba
To report the importance of intraoperative spectral domain optical coherence tomography (OCT), using the RESCAN 700, in a successful case of third DMEK with visibility difficulties due to corneal opacity
Tertiary referral hospital Fundación Jimenez Diaz, Madrid, Spain
We report the case of a third DMEK in a 78 year old patient with nanoftalmos, corneal decompensation after cataract surgery with retropupilar lens, and two endothelial graft rejections. Due to corneal oedema and opacity, it was impossible to see the orientation mark (“F”) of the graft in order to prevent upside-down tissue. Real time OCT allowed us to place the graft correctly before introducing a bubble air in the anterior chamber
Six months after the last transplant, the patient is well controlled and no reinterventions have been requiered. Follow up included complete clinical examination and multimodal video and images.
Corneal opacity makes any intraocular surgery extremely difficult. In those cases, intraoperative OCT is a useful tool for a successful surgery