Anterior chamber intraocular lens removal combined with triple DMEK: Quadruple DMEK for bullous keratopathy.

Autor:	Mergen B; Department of Ophthalmology, Saarland University Medical Center (UKS), Homburg/Saar, Germany.; Department of Ophthalmology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey., Berger T; Department of Ophthalmology, Saarland University Medical Center (UKS), Homburg/Saar, Germany., Hamon L; Department of Ophthalmology, Saarland University Medical Center (UKS), Homburg/Saar, Germany., Daas L; Department of Ophthalmology, Saarland University Medical Center (UKS), Homburg/Saar, Germany., Seitz B; Department of Ophthalmology, Saarland University Medical Center (UKS), Homburg/Saar, Germany.
Jazyk:	angličtina
Zdroj:	European journal of ophthalmology [Eur J Ophthalmol] 2024 May; Vol. 34 (3), pp. NP13-NP17. Date of Electronic Publication: 2023 Nov 08.
DOI:	10.1177/11206721231213684
Abstrakt:	Purpose: To present the outcomes of a patient with anterior chamber intraocular lens (ACIOL) related endothelial decompensation who underwent Descemet membrane endothelial keratoplasty (DMEK) and cataract surgery with intraocular lens (IOL) implantation in the capsular bag (so-called triple DMEK) combined with ACIOL removal ( quadruple DMEK) in both eyes. Methods: Case report. Results: A 58-year-old female patient was referred due to decreased visual acuity within the last 18 months. She had a history of iris-claw ACIOL implantation 17 years before. The corrected distance visual acuity (CDVA) was 20/40 in both eyes. Due to low endothelial cell density and increased corneal thickness, ACIOL removal combined with triple DMEK (as quadruple DMEK) was performed for both eyes. Despite a graft detachment that was successfully managed with re-bubbling in the first eye, both eyes showed an increase in the CDVA (20/25 and 20/32, respectively) without any other significant complications in the follow-up of the patient. The corneas of both eyes were clear postoperatively. Conclusion: This case report demonstrated that quadruple DMEK may provide feasible management for chronic endothelial cell decompensation secondary to iris-claw ACIOL implantation. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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