Endothelial keratoplasty without Descemet's stripping in congenital hereditary endothelial dystrophy

Outcomes of penetrating keratoplasty in congenital hereditary endothelial dystrophy

“…PKP also results in greater astigmatism than DSEK, and this is an important cause of amblyopia in children postcorneal transplantation. Ashar et al noted that PKP achieves a greater degree of corneal clarity than DSEK in CHED but that a stable and more predictable refraction can lead to faster recovery of vision 17. Without genetic confirmation, it is difficult to know how many of these cases with reportedly milder disease had PPCD1 rather than CHED, thus contributing to a better outcome from DSEK than in our single case.…”

Visual outcome after Descemet's stripping automated endothelial keratoplasty in an 8-month-old with congenital hereditary endothelial dystrophy

“…It has been performed in children 1-5 but infrequently during infancy 6-10 (Table 1). We report successful DSAEK in a 8-month-old child with CHED with uncorrected visual acuity of 20/40 in the left eye at 24 months' follow-up.…”

Outcomes of endothelial keratoplasty in pseudophakic corneal oedema: with or without Descemet's membrane stripping

“…The stripping of DM may be difficult in these cases and additional poor visualisation can add to the difficulty. This may lead to inadvertent pull on the posterior stromal fibres 4. Few modifications in surgical procedure may help in successful completion of DSEK in PCE.…”

“…It was believed that scoring of DM is essential for adherence of the donor lenticule to the stroma of the host 8. There are few studies where EK has been successfully performed without removal of DM in cases of pseudophakic bullous keratopathy,9 failed graft,5 10 corneal decompensation following argon laser iridotomy2 and in few reports of congenital hereditary endothelial dystrophy 4. In this context, we present our prospectively evaluated randomised comparative series of EK with or without stripping DM in patients with PCE.…”