Descemet membrane endothelial keratoplasty in cases with existing scleral-sutured and iris-sutured intraocular lenses
Identifieur interne : 001321 ( Main/Merge ); précédent : 001320; suivant : 001322Descemet membrane endothelial keratoplasty in cases with existing scleral-sutured and iris-sutured intraocular lenses
Auteurs : Daniel Röck [Allemagne] ; Tobias Röck [Allemagne] ; Karl-Ulrich Bartz-Schmidt [Allemagne] ; Efdal Yoeruek [Allemagne]Source :
- BMC Ophthalmology [ 1471-2415 ] ; 2014.
Abstract
To report two cases of Descemet Membrane Endothelial Keratoplasty (DMEK) in patients with existing scleral-fixated and iris-fixated intraocular lenses (sf-IOL and if-IOL, respectively).
DMEK procedures were performed on a 49-year-old woman with a pre-existing sf-IOL (case 1) and a 69-year-old woman with a pre-existing if-IOL (case 2) in order to treat secondary corneal edema due to pseudophakic bullous keratopathy. Visual acuity, refractive error, intraocular pressure, slit lamp examination, pachymetry measurements and endothelial cell density (ECD) were considered and repeated during follow-ups.
Both cases had no intraoperative complications. At postoperative day 1 graft centration and complete attachment were noted. The IOL positions were unchanged in comparison to their preoperative positions. In case 1, visual acuity improved from 1/15 at 1 meter preoperative to 20/200 within one week and to 20/63 within 12 weeks of follow up. In case 2, visual acuity improved from counting fingers at 1 meter preoperative to 20/200 within one week and to 20/100 within 12 weeks of follow-up. In case 2 a partial graft dislocation was observed at postoperative day twenty. Complete graft re-apposition was achieved by rebubbling procedure performed with intracameral air injection.
DMEK surgery in the treatment of pseudophakic bullous keratopathy in the presence of sf-IOL and if-IOL can successfully be performed. These eyes are at increased risk of IOL dislocation into the vitreous cavity during DMEK surgery.
Url:
DOI: 10.1186/1471-2415-14-6
PubMed: 24443809
PubMed Central: 4081653
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id="I1">Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="Bartz Schmidt, Karl Ulrich" sort="Bartz Schmidt, Karl Ulrich" uniqKey="Bartz Schmidt K" first="Karl-Ulrich" last="Bartz-Schmidt">Karl-Ulrich Bartz-Schmidt</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="Yoeruek, Efdal" sort="Yoeruek, Efdal" uniqKey="Yoeruek E" first="Efdal" last="Yoeruek">Efdal Yoeruek</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24443809</idno><idno type="pmc">4081653</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081653</idno><idno type="RBID">PMC:4081653</idno><idno type="doi">10.1186/1471-2415-14-6</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000C60</idno><idno type="wicri:Area/Pmc/Curation">000C60</idno><idno type="wicri:Area/Pmc/Checkpoint">000D18</idno><idno type="wicri:Area/Ncbi/Merge">002C54</idno><idno type="wicri:Area/Ncbi/Curation">002C54</idno><idno type="wicri:Area/Ncbi/Checkpoint">002C54</idno><idno type="wicri:Area/Main/Merge">001321</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Descemet membrane endothelial keratoplasty in cases with existing scleral-sutured and iris-sutured intraocular lenses</title><author><name sortKey="Rock, Daniel" sort="Rock, Daniel" uniqKey="Rock D" first="Daniel" last="Röck">Daniel Röck</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="Rock, Tobias" sort="Rock, Tobias" uniqKey="Rock T" first="Tobias" last="Röck">Tobias Röck</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="Bartz Schmidt, Karl Ulrich" sort="Bartz Schmidt, Karl Ulrich" uniqKey="Bartz Schmidt K" first="Karl-Ulrich" last="Bartz-Schmidt">Karl-Ulrich Bartz-Schmidt</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="Yoeruek, Efdal" sort="Yoeruek, Efdal" uniqKey="Yoeruek E" first="Efdal" last="Yoeruek">Efdal Yoeruek</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Ophthalmology, Eberhard-Karls University, Schleichstr 12, Tüebingen 72076</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author></analytic><series><title level="j">BMC Ophthalmology</title><idno type="eISSN">1471-2415</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>To report two cases of Descemet Membrane Endothelial Keratoplasty (DMEK) in patients with existing scleral-fixated and iris-fixated intraocular lenses (sf-IOL and if-IOL, respectively).</p></sec><sec><title>Case presentation</title><p>DMEK procedures were performed on a 49-year-old woman with a pre-existing sf-IOL (case 1) and a 69-year-old woman with a pre-existing if-IOL (case 2) in order to treat secondary corneal edema due to pseudophakic bullous keratopathy. Visual acuity, refractive error, intraocular pressure, slit lamp examination, pachymetry measurements and endothelial cell density (ECD) were considered and repeated during follow-ups.</p><p>Both cases had no intraoperative complications. At postoperative day 1 graft centration and complete attachment were noted. The IOL positions were unchanged in comparison to their preoperative positions. In case 1, visual acuity improved from 1/15 at 1 meter preoperative to 20/200 within one week and to 20/63 within 12 weeks of follow up. In case 2, visual acuity improved from counting fingers at 1 meter preoperative to 20/200 within one week and to 20/100 within 12 weeks of follow-up. In case 2 a partial graft dislocation was observed at postoperative day twenty. Complete graft re-apposition was achieved by rebubbling procedure performed with intracameral air injection.</p></sec><sec><title>Conclusions</title><p>DMEK surgery in the treatment of pseudophakic bullous keratopathy in the presence of sf-IOL and if-IOL can successfully be performed. These eyes are at increased risk of IOL dislocation into the vitreous cavity during DMEK surgery.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Price, Fw" uniqKey="Price F">FW Price</name></author><author><name sortKey="Price, Mo" uniqKey="Price M">MO Price</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Price, Fw" uniqKey="Price F">FW Price</name></author><author><name sortKey="Price, Mo" uniqKey="Price M">MO Price</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Price, Mo" uniqKey="Price M">MO Price</name></author><author><name sortKey="Giebel, Aw" uniqKey="Giebel A">AW Giebel</name></author><author><name sortKey="Fairchild, Km" uniqKey="Fairchild K">KM Fairchild</name></author><author><name sortKey="Price, Fw" uniqKey="Price F">FW Price</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Melles, Gr" uniqKey="Melles 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sortKey="Schmidt, B" uniqKey="Schmidt B">B Schmidt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yoeruek, E" uniqKey="Yoeruek E">E Yoeruek</name></author><author><name sortKey="Bayyoud, T" uniqKey="Bayyoud T">T Bayyoud</name></author><author><name sortKey="Hofmann, J" uniqKey="Hofmann J">J Hofmann</name></author><author><name sortKey="Bartz Schmidt, Ku" uniqKey="Bartz Schmidt K">KU Bartz-Schmidt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Szurman, P" uniqKey="Szurman P">P Szurman</name></author><author><name sortKey="Petermeier, K" uniqKey="Petermeier K">K Petermeier</name></author><author><name sortKey="Aisenbrey, S" uniqKey="Aisenbrey S">S Aisenbrey</name></author><author><name sortKey="Spitzer, Ms" uniqKey="Spitzer M">MS Spitzer</name></author><author><name sortKey="Jaissle, Gb" uniqKey="Jaissle G">GB Jaissle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lewis, Js" 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