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Descemet's membrane endothelial keratoplasty combined with phacoemulsification and intraocular lens implantation (Triple-DMEK) in eyes with Fuchs endothelial dystrophy and cataract

Poster Details

First Author: G. Stamou GREECE

Co Author(s):    A. Lazaridis   A. Mouchtouris   S. Souki   D. Miltsakakis   C. Koutsandrea   K. Droutsas

Abstract Details


Purpose of the study was to evaluate the anatomic and functional outcome of Descemet Membrane Endothelial Keratoplasty (DMEK) combined with phacoemulsification and intraocular lens implantation in patients with Fuchs Endothelial Dystrophy (FED) and cataract.


First Department of Ophthalmology, National and Kapodistrian University of Athens, Athens, Greece


Triple-DMEK was successful in all cases. A posterior chamber intraocular lens was implanted in all cases. Mean BCVA ranged from hand movement to 0.3 before, and from 0.7 to 1.0 at 6 months after the procedure. The main ECD dropped from 2716 ± 239 cells/mm2 (donor cornea) to 2029 ± 463 cells/mm2 at six months. One patient required air re-injection due to partial graft detachment. No other complications were observed.


The first results of the present series suggest that Triple-DMEK is safe and effective in challenging cases of FED and cataract. The ECD loss with the use of the standardized NIIOS techniques was less compared to that in previous reports. Finally, the combination of phacoemulsification and DMEK did not appear to have any negative effect on graft adhesion.



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