Combined Cataract and Corneal Transplantation Surgery Without Viscosurgical Devices

Scientific paper - Original scientific paper

• Author: Tomislav Kuzman
• Author: Ana Bakrac
• Author: Ana Meter
• Author: Ivana Gabrić
• Author: Dina Gaćina
• Author: Sania Pauk
• Author: Anđela Jukić
• Author: Ivan Škegro
• Author: Sanja Masnec
• Author: Miro Kalauz
• Author's institution: University of Zagreb; School of Medicine; (Department of Ophthalmology and Optometry)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Ophthalmology

Abstract (english)

Background: The most common complications after performing the triple Descemet’s stripping automated endothelial keratoplasty (DSAEK), which combines the cataract phacoemulsification, intraocular lens implantation and DSAEK procedure, are detachment or decentration of the donor lamella and postoperative interface haze. One reason for this is the retained viscoelastic used during surgery.
Objective: This study aimed to describe triple DSAEK procedure without the usage of viscoelastic and to discuss its potential benefits on surgical outcomes. Methods: The surgical procedures and outcomes of patients with Fuchs’ dystrophy and lens opacification who underwent the triple DSAEK were retrospectively reviewed. The surgical procedure was described, and postoperative complications were studied.
Results: The study included 10 eyes of 10 patients. Capsulorhexis and IOL implantation performed in locally potentiated anesthesia compared to general anesthesia did not significantly differ (P > 0,05). The mean preoperative best-corrected visual acuity was 0.75 LogMar. The mean postoperative best-corrected visual acuity was 0.2 LogMar. The central graft thickness before surgery was 129.6 μm and 6 months after surgery was 114.2 μm. Successful attachment of the donor lamellae was observed in all 10 patients. None of the patients had postoperative interface haze or any other possible viscoelastic caused complication.
Conclusion: Although viscoelastic can facilitate certain aspects of the triple DSAEK procedure, we conclude that this procedure can be performed completely without its use. If performed by a trained surgeon, the procedure can be feasible without the complications of donor lamella detachment, decentration, or interface haze.

• Keywords (english): DSAEK; Phacoemulsification; Triple procedure; Viscoelastic
• Language: english
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Acta Informatica Medica
• Numbering: vol. 31, no. 3, pp. 186-190
• p-ISSN: 0353-8109
• DOI: https://doi.org/10.5455/aim.2023.31.186-190
• URN:NBN: urn:nbn:hr:105:016528
• Publication: 2023
• Document URL: https://www.ejmanager.com/fulltextpdf.php?mno=169763
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-05-20 07:59:18