Incidence of cystoid macular edema after Descemet’s stripping automated endothelial keratoplasty
| Autor: | Joan Ribas Martínez, Eduard Pedemonte-Sarrias, Irene Sassot Cladera, Toni Salvador Playà, José García-Arumí, Nuria Giménez, Oscar Gris |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
genetic structures medicine.medical_treatment education Intraocular lens 03 medical and health sciences 0302 clinical medicine Descemet membrane endothelial keratoplasty lcsh:Ophthalmology Clinical Research Ophthalmology medicine postoperative complications Descemet stripping automated endothelial keratoplasty combined with phacoemulsification Macular edema macular edema business.industry Incidence (epidemiology) Phacoemulsification medicine.disease eye diseases lcsh:RE1-994 Descemet Stripping Endothelial Keratoplasty 030221 ophthalmology & optometry sense organs Complication business Standard therapy 030217 neurology & neurosurgery Descemet stripping endothelial keratoplasty |
| Zdroj: | International Journal of Ophthalmology, Vol 10, Iss 7, Pp 1081-1087 (2017) |
| ISSN: | 2227-4898 2222-3959 |
| Popis: | Aim To determine the incidence of cystoid macular edema (CME) after Descemet's stripping automated endothelial keratoplasty (DSAEK). Methods This study included all consecutive patients operated in a Spanish tertiary reference hospital over a period of four years. A total of 55 eyes from 47 patients matched the selection criteria. CME was diagnosed clinically at the slit-lamp and confirmed by optical coherence tomography. Results Six cases of CME were diagnosed postoperatively, which represented an incidence of 11%. Three patients had previously undergone DSAEK alone (7%; 3/41) and the other three, DSAEK combined with phacoemulsification (21%; 3/14). Five out of six patients with CME responded to standard therapy. Conclusion CME is a possible complication after DSAEK and can be treated with standard therapy. CME appears more frequently when DSAEK is combined with phacoemulsification and posterior chamber (PC) intraocular lens (IOL) implantation. Intraoperative damage to the corneal endothelial cells might play a role in the pathogenesis of CME. As long as the causes remain unclear, we recommend administering prophylaxis when risk factors are present or when combined surgery is planned. |
| Databáze: | OpenAIRE |
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