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

Sonia H. Yoo, George D. Kymionis, Avnish A. Deobhakta, Takeshi Ide, Fabrice Manns, William W. Culbertson, Terrence P. O'Brien, Eduardo C. Alfonso

Research output: Contribution to journalArticle

61 Scopus citations

Abstract

Objective: 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. Methods: 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. Results: 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 3mm and induced hyperopic shift (R2=0.65, P<.001). Conclusions: 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.

Original languageEnglish (US)
Pages (from-to)1052-1055
Number of pages4
JournalArchives of ophthalmology
Volume126
Issue number8
DOIs
StatePublished - Aug 1 2008

ASJC Scopus subject areas

  • Ophthalmology

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