RESULTS OF POSTERIOR LAMELLAR KERATOPLASTIES IN PHAKIC EYES.

Q4 Medicine

Ceska a Slovenska Oftalmologie Pub Date : 2022-02-22 DOI:10.31348/2022/4

J. Dítě, M. Netuková, Y. Klimešová, D. Krizova, P. Studeny

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引用次数: 0

Abstract

PURPOSE To evaluate the results of posterior lamellar keratoplasties (DMEK and PDEK) in phakic eyes. MATERIAL AND METHODS Retrospective analysis of surgeries performed in our department between June 2016 and December 2019. The main focus was put on postoperative visual acuity, corneal endothelial cell density and possible peroperative and postoperative complications including cataract formation. RESULTS We performed 12 surgeries on 11 eyes of 7 patients. The most prevalent primary diagnosis was Fuchs endothelial dystrophy (7 eyes), followed by bullous keratopathy after phakic anterior chamber IOL implantation (2 eyes) and ICE syndrome (2 eyes). The average length of follow-up was 12.5 months. Clinically significant complicated cataract had developed and was removed in 3 eyes, one eye required rebubbling due to graft detachment and one eye required rePDEK due to graft failure. At the end of follow-up, the average visual acuity was 0.87, while 82% of eyes achieved VA 0.8 or better, and the average endothelial cell density was 1589 cells/mm2. CONCLUSION Posterior lamellar keratoplasties (DMEK and PDEK) can be performed on phakic eyes. When performed by an experienced surgeon, these are safe procedures with good postoperative results and significant advantage in preserving younger patients accommodation.

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晶状眼后板层角膜移植术的疗效。

目的评价后板层角膜移植术(DMEK和PDEK)在晶状眼中的应用效果。材料与方法回顾性分析2016年6月至2019年12月在我科进行的手术。主要的焦点放在术后视力、角膜内皮细胞密度和可能的术中和术后并发症，包括白内障的形成。结果7例患者11只眼共行12次手术。最常见的主要诊断是Fuchs内皮营养不良(7眼)，其次是晶状体前房人工晶状体植入术后大疱性角膜病变(2眼)和ICE综合征(2眼)。平均随访12.5个月。3眼发生临床上显著的复杂性白内障并切除，1眼因移植物脱离需要重新泡泡，1眼因移植物失败需要rePDEK。随访结束时，平均视力为0.87,82%的眼睛VA达到0.8以上，内皮细胞平均密度为1589个细胞/mm2。结论后板层角膜移植术(DMEK和PDEK)可用于晶状眼。当由经验丰富的外科医生执行时，这些手术是安全的，术后效果良好，在保留年轻患者住宿方面具有显着优势。

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来源期刊

Ceska a Slovenska Oftalmologie Medicine-Ophthalmology

CiteScore

0.80

自引率

0.00%

发文量

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