Long-Term Clear Graft Survival and Chronic Endothelial Cell Loss Following Posterior Lamellar Keratoplasty

Maier, Philip; Reinhard, Thomas

doi:10.1007/978-3-319-43021-8_14

Cited by 1 publication

(1 citation statement)

References 79 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With increasing experience, corneal surgeons expanded the range of indications for DMEK and now the method represents an option for the treatment of all kinds of endothelial decompensation, even in complex eyes. Graft failure after penetrating keratoplasty and endothelial failure after glaucoma or cataract surgery are among the possible indications [1,2]. While DMEK has excellent success rates in uncomplicated eyes, rates of graft detachment, primary and secondary graft failure, and an immune reaction increase significantly in complicated eyes [1,3].…”

Section: Introductionmentioning

confidence: 99%

Descemet Membrane Endothelial Keratoplasty in Eyes with an Artificial Iris

Keye

Reinhard

Maier

2023

Klin Monbl Augenheilkd

Self Cite

View full text Add to dashboard Cite

The purpose of this study is to report the outcome of Descemet membrane endothelial keratoplasty (DMEK) in three eyes with a complex anterior segment and an artificial iris. A retrospective chart review of three cases was performed and clinically meaningful patient characteristics, clinical events, and therapeutic interventions were outlined. A literature search was performed and the clinical course of the three cases was discussed in the context of the published literature. DMEK in the presence of an artificial iris did not match the clinical results of DMEK in uncomplicated eyes. All three eyes experienced major complications, such as failure to achieve graft adherence, early graft failure, or an immune reaction. The indication for DMEK in complex anterior segments with an artificial iris should be made with the awareness of multiple possible complications and the potentially poor prognosis of the procedure.

show abstract