Mini descemet membrane stripping (m-DMES) in patients with Fuchs' endothelial dystrophy: A new method.

Details

Serval ID
serval:BIB_1009B35BA1F9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Mini descemet membrane stripping (m-DMES) in patients with Fuchs' endothelial dystrophy: A new method.
Journal
Saudi journal of ophthalmology
Author(s)
Kymionis G.D., Liakopoulos D.A., Grentzelos M.A., Naoumidi I., Kontadakis G.A., Tsoulnaras K.I., Petrelli M.K.
ISSN
1319-4534 (Print)
ISSN-L
1319-4534
Publication state
Published
Issued date
2017
Peer-reviewed
Oui
Volume
31
Number
4
Pages
275-279
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
We present two cases with focal corneal edema due to Fuchs' endothelial dystrophy that were successfully treated with mini Descemet membrane stripping (m-DMES) (diameter of 3-4 mm; at the area of preexisting focal corneal edema) without endothelial replacement during cataract surgery. Specular microscopy demonstrated Fuchs' endothelial dystrophy and histopathologic evaluation confirmed the diagnosis. Anterior segment optical coherence tomography and confocal microscopy were used for the evaluation of the corneal tissue recovery course after the surgical procedure. In both patients, we observed an initial aggravation of corneal edema in the area of DM removal for two months followed by gradual improvement. At four months postoperatively, corneal edema had completely regressed resulting in corneal clearance and visual acuity improvement in both cases. M-DMES without graft insertion represents a promising alternative surgical technique that could be applied in specific cases of Fuchs' endothelial dystrophy with focal corneal edema.

Keywords
Corneal edema, Descemet membrane, Fuchs’ dystrophy, Mini central DM striping, Partial removal
Pubmed
Web of science
Open Access
Yes
Create date
14/12/2017 17:08
Last modification date
20/08/2019 12:36
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