Phacoemulsification After Descemet Membrane Endothelial Keratoplasty: Incidence and Influence on Endothelial Cell Density
| Autor: | Gerrit R. J. Melles, Silke Oellerich, Sorcha Ní Dhubhghaill, Korine van Dijk, Indrė Vasiliauskaitė, Lisanne Ham |
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| Přispěvatelé: | Ophtalmology - Eye surgery |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Distance visual acuity genetic structures Descemet membrane medicine.medical_treatment Cataract extraction 03 medical and health sciences 0302 clinical medicine Ophthalmology Humans Medicine Descemet Membrane cell count Retrospective Studies Phacoemulsification business.industry Incidence (epidemiology) Fuchs' Endothelial Dystrophy Endothelium Corneal Endothelial Cells Cataract surgery eye diseases Endothelial cell density Descemet Membrane/surgery incidence 030221 ophthalmology & optometry Surgery Human medicine sense organs business Descemet Stripping Endothelial Keratoplasty Fuchs' Endothelial Dystrophy/surgery 030217 neurology & neurosurgery |
| Zdroj: | Journal of refractive surgery JOURNAL OF REFRACTIVE SURGERY, 37(2), 119-+. SLACK INC |
| ISSN: | 1081-597X |
| Popis: | PURPOSE: To analyze the incidence of cataract extraction after Descemet membrane endothelial keratoplasty (DMEK) in phakic eyes and to evaluate the effect of phacoemulsification after DMEK on the donor endothelial cell density (ECD). METHODS: The clinical data of phakic patients with DMEK were examined. From this cohort, all patients who subsequently underwent phacoemulsification after DMEK were reviewed. Data from a prospectively collected dataset were analyzed, including demographic profile, ECD, corrected distance visual acuity (CDVA), central corneal thickness (CCT), and complications. RESULTS: From a series of 261 phakic patients with DMEK, 35 eyes (13.4%) required cataract surgery within the mean follow-up period of 54.2 ± 28 months. The mean time from DMEK to phacoemulsification was 18 ± 13 months (range: 3 to 69 months). The probability of cataract extraction after DMEK was 0.06 (95% CI: 0.03 to 0.09) at 1 year and 0.17 (95% CI: 0.12 to 0.22) at 10 years, respectively. ECD decreased from 1,314 ± 524 cells/mm 2 before phacoemulsification to 1,167 ± 443 cells/mm 2 (−11%) at 1 to 6 months postoperatively ( P = .333). CDVA improved from 0.27 ± 0.13 logMAR preoperatively to 0.07 ± 0.12 logMAR at 1 to 6 months postoperatively. CCT before phacoemulsification was 532 ± 46 µm and remained stable at 539 ± 56 µm at 1 to 6 months after phacoemulsification. Phacoemulsification did not elicit DMEK graft detachment in any of the eyes studied. CONCLUSIONS: The incidence and 10-year projection of cataract extraction in phakic eyes with DMEK was relatively low. Phacoemulsification after DMEK provided excellent CDVA outcomes, did not induce graft detachment, and was associated with an acceptable decrease in ECD. [ J Refract Surg . 2021;37(2):119–125.] |
| Databáze: | OpenAIRE |
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