Descemet Stripping Endothelial Keratoplasty for the Treatment of Combined Fuchs Corneal Endothelial Dystrophy and Keratoconus
| Autor: | Usiwoma Abugo, Surendra Basti, Samir Vira, Ira J. Udell, Charles S. Bouchard, Carolyn Shih, Sadeer B. Hannush, Brian J. Sperling |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Keratoconus medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Fuchs Endothelial Dystrophy Visual Acuity Severity of Illness Index law.invention law Ophthalmology medicine Humans Dioptre Aged Retrospective Studies Keratometer medicine.diagnostic_test business.industry Fuchs' Endothelial Dystrophy Corneal Topography Middle Aged Cataract surgery medicine.disease Corneal topography eye diseases Descemet Stripping Endothelial Keratoplasty Female sense organs medicine.symptom business Follow-Up Studies |
| Zdroj: | Cornea. 33:1-5 |
| ISSN: | 0277-3740 |
| DOI: | 10.1097/ico.0b013e3182a7389c |
| Popis: | PURPOSE To report the first case series of patients with Fuchs corneal endothelial dystrophy (FCD) and keratoconus (KCN) who underwent Descemet stripping endothelial keratoplasty (DSEK). METHODS This is a retrospective case series of 6 eyes of 4 patients with combined FCD and KCN who underwent DSEK at 3 different centers. Clinical information collected included corneal topography measurements, central corneal thickness, and endothelial cell count. Visual outcomes and change in keratometric measurements were evaluated. RESULTS The follow-up for patients ranged from 10 to 72 months. The best-corrected visual acuity was 20/40 or better in all 6 eyes. The mean keratometric measurements decreased in all cases (range of 0.5-5.8 diopters); however, topography still demonstrated an inferior steepening in each case. CONCLUSIONS Patients with FCD and KCN have been previously reported as being managed with penetrating keratoplasty. We present 6 eyes of 4 patients who were managed with DSEK for the FCD. Topographically, the characteristic inferior steepening of KCN did not change; however, all patients with DSEK had flatter postoperative keratometric measurements with improved visual acuity. If a DSEK is performed for FCD before apical corneal scarring from KCN, a good visual outcome may be achieved. |
| Databáze: | OpenAIRE |
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