Simultaneous Descemet's membrane endothelial keratoplasty and posterior iris-claw-fixated intra ocular lens implantation (IOL) in management of aphakic bullous keratopathy.
To evaluate the efficacy of combined procedure of Descemet's membrane endothelial keratoplasty (DMEK) and posterior iris-claw-fixated intra ocular lens (IOL) implantation in the management of aphakic bullous keratopathy (ABK). Sankara eye centre, a tertiary eye care centre. A prospective case series analysis. A prospective study comprised ten eyes of ten patients who underwent DMEK and posterior iris-claw-fixated IOL. Mean follow-up period was 12-36 months. Pre-operative and post-operative best corrected visual acuity (BCVA), endothelial cell density (ECD) and complications were noted. A total ten eyes of ten patients underwent DMEK. Out of ten patients BCVA improved from 1.00 to 1.60 LogMAR with mean and SD of 1.40 ± 0.20 to +0.20-0.40 LogMAR with mean and SD of 0.30 ± 0.07, with a significant p value of <0.001, Mean ECD of the donor tissue pre-operatively was 2367 cells, whereas 24 months post-operatively it was reduced to 1798 cells. Mean reduction in ECD pre procedure and post procedure was 569 (24 %). Iris-fixated IOL appears to offer simplicity in implantation and may be combined with DMEK in ABK. This procedure provides a faster visual recovery than other endothelial keratoplasties with iris-fixated IOL.
Sankara Eye Centre, Sivanadapuram, Sathy Road, Coimbatore, India. drvipulbhandari@gmail.com.
Vipul
http://orcid.org/0000-0001-8548-9244
V
Bhandari
Sankara Eye Centre, Sivanadapuram, Sathy Road, Coimbatore, India.
Jagdeesh K
JK
Reddy
Sankara Eye Centre, Sivanadapuram, Sathy Road, Coimbatore, India.
K S
KS
Siddharthan
Sankara Eye Centre, Sivanadapuram, Sathy Road, Coimbatore, India.
Nidhi
N
Singhania
D000368:Aged; D001768:Blister / Q000601:surgery*; D002452:Cell Count; D015715:Corneal Edema / Q000601:surgery*; D055954:Corneal Endothelial Cell Loss / Q000473:pathology; D003886:Descemet Membrane / Q000601:surgery; D057111:Descemet Stripping Endothelial Keratoplasty / Q000379:methods*; D005260:Female; D006801:Humans; D007498:Iris / Q000601:surgery; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014792:Visual Acuity
ABK; DMEK; Iris claw