Descemet membrane endothelial keratoplasty in multifocal pseudophakic eyes

Ceratoplastia endotelial da membrana de Descemet em olhos pseudofácicos multifocais

Nicolas Cesário Pereira Evandro Ribeiro Diniz Ramon Coral Ghanem Ruy Cunha Filho Tatiana Moura Prazeres Walton Nose Adriana dos Santos Forseto About the authors

ABSTRACT

Purpose:

This report describes the use of Descemet membrane endothelial keratoplasty for the management of endothelial decompensation after multifocal intraocular lens implantation.

Methods:

In this retrospective study, we reviewed and assessed the surgical outcomes of 9 patients (9 eyes) who underwent Descemet membrane endothelial keratoplasty after multifocal intraocular lens implantation.

Results:

Corneal edema occurred due to Fuchs endothelial corneal dystrophy (n=3), pseudophakic bullous keratopathy (n=3), Descemet’s membrane detachment (n=2), and toxic anterior segment syndrome (n=1). The Descemet membrane endothelial keratoplasty surgeries were uneventful in all eyes, but rebubbling procedures were necessary in 2 eyes. One month after the surgery, all the corneas were clear. After 6 months, excluding 1 eye with amblyopia, the mean distance corrected visual acuity was 0.10 logMAR, with all eyes achieving 0.18 logMAR or better.

Conclusions:

This is the first report of Descemet membrane endothelial keratoplasty after multifocal intraocular lens implantation, and it suggests that good results can be achieved without multifocal intraocular lens exchange.

Keywords:
Descemet membrane; Descemet membrane endo thelial keratoplasty; Fuchs endothelial dystrophy; Corneal trans plantation; Intraocular lens implants

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