Istovremena fakoemulzifikacija, implantacija sočiva i endotelna keratoplastika (trostruka procedura).

Nikolić, Ljubiša; Jovanović, Vesna

Introduction. Simultaneous Descemet stripping endothelial keratoplasty, phacoemulsification, and intraocular lens implantation are indicated in Fuchs' dystrophy with associated cataract. Compared to the standard method of the triple procedure which includes penetrating keratoplasty, this new method has the advantages of sutureless surgery, small limbal incision, faster recovery, less surface problems, less astigmatism, stronger tensile strength and more predictable calculation of the intraocular lens power. This is the first report of such a combination of procedures in our literature. Case report. A 76-year-old woman suffered from a gradual bilateral visual loss. The best corrected visual acuity was 20/60 (right eye) and finger counting at 1m (left eye). Corneal thickness was 590 um and 603 um, re-spectively. A marked cornea guttata and nuclear cataract were present in both eyes. Phacoemulsification, lens implantation, and Descemet stripping were done in the left eye. The posterior lamellar corneal graft, 8.0 mm in diameter and about 150 um thick, was bent and inserted through the limbal incision. The air was injected into the anterior chamber to attach the graft to the recipient stroma. The cornea remained clear, and the transplant was attached during a two-year follow-up. Visual acuity was 20/40 after two months, and 20/25 after one year. Con-clusion. The new technique proved itself as a good choice for the treatment of a mild Fuchs' dystrophy associated with cataract.

PHACOEMULSIFICATION; INTRAOCULAR lenses; ARTIFICIAL implants; CORNEA surgery; ENDOTHELIUM; OPERATIVE surgery; COMPARATIVE studies

Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journal of Serbia, 2011, Vol 68, Issue 9, p800

0042-8450

Academic Journal

10.2298/VSP1109800N