Descemet membrane endothelial keratoplasty with a stromal rim in the treatment of posterior polymorphous corneal dystrophy

Indian Journal of Ophthalmology

关键词: Band-shaped keratopathy;    corneal dystrophy;    phototherapeutic keratectomy;    phototherapeutic keratectomy with amniotic membrane grafts;    scar;    and Salzmann nodular degeneration;    Kaplan Meier survival analysis;    multivariate Cox Proportional Hazard Regression analysis;    optical penetrating keratoplasties;    Myopia;    phakic refractive intraocular lens;    refractive surgery;    23-Gauge vitrectomy;    rhegmatogenous retinal detachment;    sutureless vitrectomy;    Deep anterior lamellar keratoplasty;    endothelial cell density;    keratoconus;    penetrating keratoplasty;    Anterior chamber contamination;    cataract surgery;    conjunctival flora;    diabetics;    Cardiovascular disease;    diabetes;    diabetic retinopathy;    framingham risk score;    Central macular thickness;    multifocal electroretinogram;    normative database;    optical coherence tomography;    Macular microhole;    microperimetry;    spectral domain optical coherence tomography;    Age-related macular degeneration;    choroidal neovascularization;    photodynamic therapy;    vitreous traction;    Descemet membrane endothelial keratoplasty with a stromal rim;    endothelial keratoplasty;    posterior lamellar keratoplasty;    posterior polymorphous corneal dystrophy;   

DOI  :  10.4103/0301-4738.91350

来源: DOAJ

【 摘 要 】

A 20-year-old patient, diagnosed with posterior polymorphous corneal dystrophy, developed corneal edema for which he underwent Descemet membrane endothelial keratoplasty with a stromal rim (DMEK-S) in the right eye. No intra- or postoperative complications were noted. At the last follow-up 2 years and 9 months after the procedure, the best corrected visual acuity was 1.0 and endothelial cell density declined from 3533 cells/mm 2 to 1012 cells/mm 2 . Despite the endothelial cell loss, DMEK-S appears to be a good alternative to other surgical techniques for the treatment of corneal endotheliopathies, and it may be of benefit to young patients.

【 授权许可】

Unknown