title: [Triple Descemet membrane endothelial keratoplasty. Indications, variations and results].
abstract: When Descemet membrane endothelial keratoplasty (DMEK) is indicated in patients with phakic eyes, a combination with phacoemulsification and intraocular lens implantation in one sitting should be considered as a triple DMEK. The best possible preoperative deswelling of the cornea should be strived for in order to allow sufficient viewing conditions for the individual stages of cataract surgery. Furthermore, technical details, e.g. regulation of pupillary width also must be considered. The power of the intraocular lens has to be adjusted in order to compensate for the shift of refraction towards hyperopic values induced by DMEK surgery. A rapid and clear improvement in visual acuity can normally be achieved after a triple DMEK. There seem to be no disadvantages compared with a two-stage procedure for DMEK and cataract surgery.
authors: Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig, Liebigstraße 10-14, 04103, Leipzig, Deutschland. Christian.Girbardt@medizin.uni-leipzig.de.
authors: C
authors: C
authors: Girbardt
authors: Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig, Liebigstraße 10-14, 04103, Leipzig, Deutschland.
authors: P
authors: P
authors: Wiedemann
authors: Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig, Liebigstraße 10-14, 04103, Leipzig, Deutschland.
authors: A
authors: A
authors: Nestler
mesh_terms: D002386:Cataract / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D003131:Combined Modality Therapy / Q000379:methods*; D057111:Descemet Stripping Endothelial Keratoplasty / Q000379:methods*; D019317:Evidence-Based Medicine; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D016343:Monitoring, Intraoperative / Q000379:methods; D018918:Phacoemulsification / Q000379:methods*; D016896:Treatment Outcome; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D014792:Visual Acuity
keywords: Cataract; Intraocular lens; Phacoemulsification; Posterior chamber lens implantation; Visual acuity