Descemet Membrane Endotelial Keratoplasty For Failing Penetrating Keratoplasty

Published 2022 - 40th Congress of the ESCRS

Reference: PP26.08 | Type: Free paper | DOI: 10.82333/w4rh-j403

Authors: Maria Jose Roig Revert* ¹ , Cristina Peris-Martínez ¹ , Mikhail Hernández-Díaz ¹ , Ester Fernández-López ¹

¹FISABIO OFTALMOLOGIA MEDICA (FOM),Valencia,Spain

Purpose

To evaluate outcomes of Descemet membrane endotelial keratoplasty (DMEK) for failed penetrating keratoplasty (PK).

Setting

FISABIO Oftalmología Médica (FOM) Valencia, Spain

Methods

We describe 2 cases of 2 eyes with PK failure who underwent DMEK. In both cases host descemetorhexis was performed and the endothelial graft diameter was 0.5 mm undersized in relation to the PK diameter.

Results

No intraoperative complications were registered. One case case required rebubbling. Both cases improved significantly in non corrected and best corrected visual acuity (BCVA), corneal transparency and pachymetry within 3 months.

BCVA achieved improved from counting fingers (CF) to 20/40 in both cases. Central corneal thickness improved from 715 to 527μm in the first case and from 954 to 773μm in the second case. Endothelial cell density was not assessable.

Conclusions

In our experience, Descemet membrane endotelial keratoplasty is a viable and safer alternative for patients with endothelial PK failure that led to improved vision and graft clarity in both recipients.