Descemet membrane endothelial keratoplasty in multifocal pseudophakic eyes

Abstract

This is the first report of Descemet membrane endothelial keratoplasty after multifocal intraocular lens implantation, and it suggests that good results can be achieved without multifocal intraocular lens exchange.

Chord Mu (µ) and Chord Alpha (α) Length Changes in Fuchs Endothelial Corneal Dystrophy before and after Descemet Membrane Endothelial Keratoplasty (DMEK) Surgery

“…Pereira et al [ 9 ] reported a case series of DMEK as a secondary procedure after corneal decompensation a few years after MIOL implantation. This group described good outcomes after DMEK surgery in all patients.…”

“…Therefore, according to us, more evidence is still necessary. Since there are already studies which report the use of MIOLs [ 9 , 25 ] in DMEK, we consider that gaining more knowledge regarding the behavior of both chords, mu, and chord alpha after corneal endothelial transplantation could be useful for the scientific community. However, the role of both in the possible influence in a combined surgery of DMEK and MIOL or refractive surgery must be studied in the future, since our purpose here was only to report how both could vary after DMEK.…”

“…Nanavaty et al [ 8 ] reported a patient with Fuchs endothelial corneal dystrophy (FECD) who provided successful results after a combined refractive lens exchange with a multifocal intraocular lens (MIOL) in addition to DMEK. Moreover, other cases of DMEK after corneal decompensation a few years after MIOL implantation in eyes with FECD have been described [ 9 ].…”

Descemet Membrane Endothelial Keratoplasty in Toxic Anterior Segment Syndrome: A Case Series

“…10,11 There are few case reports in literature, which have declared the outcomes of DMEK surgery in cases with decompensated corneal edema after TASS. Pereira et al 17 reported successful outcomes with DMEK in a patient with corneal failure secondary to TASS. Arslan et al reported the outcomes of DMEK in 4 cases with TASS-related corneal edema.…”

<p>Descemet membrane endothelial keratoplasty (DMEK): an update on safety, efficacy and patient selection</p>

“…When performing combined surgery with cataract, biometric calculation with a final target of −0.50 to −1.00D is recommended 27,38,41–43. DMEK can also be considered in patients with a history of laser vision correction or phakic IOL implantation 44,45. Due to its high refractive accuracy, there have been reports of successfully combining DMEK with toric or even multifocal IOL implantation.…”