One-year results and anterior segment optical coherence tomography findings of descemet stripping automated endothelial keratoplasty combined with phacoemulsification.

Details

Serval ID
serval:BIB_B60E80E64D38
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
One-year results and anterior segment optical coherence tomography findings of descemet stripping automated endothelial keratoplasty combined with phacoemulsification.
Journal
Archives of ophthalmology
Author(s)
Yoo S.H., Kymionis G.D., Deobhakta A.A., Ide T., Manns F., Culbertson W.W., O'Brien T.P., Alfonso E.C.
ISSN
1538-3601 (Electronic)
ISSN-L
0003-9950
Publication state
Published
Issued date
08/2008
Peer-reviewed
Oui
Volume
126
Number
8
Pages
1052-1055
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To report 1-year results and anterior segment optical coherence tomography findings of Descemet stripping automated endothelial keratoplasty combined with phacoemulsification in patients with cataract and Fuchs endothelial dystrophy.
Twelve eyes of 11 patients with at least 1-year follow-up were retrospectively reviewed. Measured variables included best spectacle-corrected visual acuity, refractive spherical equivalent and predictability, anterior corneal keratometric values, complications, and anterior segment optical coherence tomography findings.
The mean follow-up was 14.33 months (range, 12-18 months). The best spectacle-corrected visual acuity was unchanged (8%) or improved (92%) in all eyes compared with the preoperative levels. A mean (SD) discrepancy between the targeted postoperative refraction and the actual postoperative spherical equivalent refraction (hyperopic shift) of 1.46 (0.76) diopters (D) (range, -0.05 to 3.14 D) was observed. A significant correlation existed between the ratio of central graft thickness to mean peripheral donor corneal lenticule thickness at 3 mm and induced hyperopic shift (R(2) = 0.65, P < .001).
Descemet stripping automated endothelial keratoplasty combined with phacoemulsification and intraocular lens implantation in patients with coexisting Fuchs endothelial dystrophy and cataract improved best spectacle-corrected visual acuity without progressive time-dependent complications. A correlation exists between donor corneal lenticule shape and induced hyperopic shift.
Keywords
Aged, Aged, 80 and over, Anterior Eye Segment/pathology, Cataract/complications, Cataract/therapy, Corneal Topography, Corneal Transplantation/methods, Descemet Membrane/surgery, Endothelium, Corneal/transplantation, Female, Follow-Up Studies, Fuchs' Endothelial Dystrophy/complications, Fuchs' Endothelial Dystrophy/surgery, Humans, Intraoperative Complications, Lens Implantation, Intraocular, Male, Middle Aged, Phacoemulsification/methods, Postoperative Complications, Retrospective Studies, Tomography, Optical Coherence, Treatment Outcome, Visual Acuity/physiology
Pubmed
Web of science
Open Access
Yes
Create date
02/10/2019 8:49
Last modification date
06/10/2019 5:26
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