Outcomes of Descemet Membrane Endothelial Keratoplasty for Vitrectomized Eyes with Sutured Posterior Chamber Intraocular Lens
Purpose. To evaluate the clinical outcomes of Descemet membrane endothelial keratoplasty (DMEK) for vitrectomized eyes that underwent pars plana vitrectomy (PPV) and transscleral-sutured intraocular lens (IOL) implantation. Methods. In this retrospective study, DMEK cases were reviewed from medical...
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2018-01-01
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Series: | Journal of Ophthalmology |
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doaj-6be30fd2d61b497eae8d15c75c3461272020-11-24T21:30:31ZengHindawi LimitedJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/31271263127126Outcomes of Descemet Membrane Endothelial Keratoplasty for Vitrectomized Eyes with Sutured Posterior Chamber Intraocular LensNorihiro Yamada0Takahiko Hayashi1Kentaro Yuda2Toshiki Shimizu3Itaru Oyakawa4Hidenori Takahashi5Naoko Kato6Department of Ophthalmology, Saitama Medical University Hospital, Saitama, JapanDepartment of Ophthalmology, Saitama Medical University Hospital, Saitama, JapanDepartment of Ophthalmology, Yokohama City University Hospital, Yokohama, JapanDepartment of Ophthalmology, Yokohama City University Hospital, Yokohama, JapanDepartment of Ophthalmology, Heart Life Hospital, Okinawa, JapanDepartment of Ophthalmology, Jichi Medical University, Tochigi, JapanDepartment of Ophthalmology, Saitama Medical University Hospital, Saitama, JapanPurpose. To evaluate the clinical outcomes of Descemet membrane endothelial keratoplasty (DMEK) for vitrectomized eyes that underwent pars plana vitrectomy (PPV) and transscleral-sutured intraocular lens (IOL) implantation. Methods. In this retrospective study, DMEK cases were reviewed from medical records and divided into two groups: the eyes after PPV and transscleral-sutured IOL implantation (vitrectomized group) and the eyes with in-the-bag IOL implantation (control group) prior to DMEK. The main outcome measures included time of graft unfolding during surgery and best spectacle-corrected visual acuity (BSCVA), central corneal thickness (CCT), and endothelial cell density (ECD) at 1, 3, and 6 months after the DMEK. Results. Twenty-three eyes (vitrectomized group, n=8; control group, n=15) in 23 patients were included in this study. The unfolding time was significantly longer in the vitrectomized group than in the control group (P<0.001). Postoperative BSCVA was worse in the vitrectomized group (0.16 ± 0.15) than in the control group (−0.06 ± 0.06; P=0.017). The improvement in BSCVA was negatively correlated with the patients’ age and frequency of previous surgeries. Conclusions. Despite the longer graft unfolding time and limited visual recovery, DMEK should be applicable to vitrectomized eyes with transscleral-sutured IOL implantation.http://dx.doi.org/10.1155/2018/3127126 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Norihiro Yamada Takahiko Hayashi Kentaro Yuda Toshiki Shimizu Itaru Oyakawa Hidenori Takahashi Naoko Kato |
spellingShingle |
Norihiro Yamada Takahiko Hayashi Kentaro Yuda Toshiki Shimizu Itaru Oyakawa Hidenori Takahashi Naoko Kato Outcomes of Descemet Membrane Endothelial Keratoplasty for Vitrectomized Eyes with Sutured Posterior Chamber Intraocular Lens Journal of Ophthalmology |
author_facet |
Norihiro Yamada Takahiko Hayashi Kentaro Yuda Toshiki Shimizu Itaru Oyakawa Hidenori Takahashi Naoko Kato |
author_sort |
Norihiro Yamada |
title |
Outcomes of Descemet Membrane Endothelial Keratoplasty for Vitrectomized Eyes with Sutured Posterior Chamber Intraocular Lens |
title_short |
Outcomes of Descemet Membrane Endothelial Keratoplasty for Vitrectomized Eyes with Sutured Posterior Chamber Intraocular Lens |
title_full |
Outcomes of Descemet Membrane Endothelial Keratoplasty for Vitrectomized Eyes with Sutured Posterior Chamber Intraocular Lens |
title_fullStr |
Outcomes of Descemet Membrane Endothelial Keratoplasty for Vitrectomized Eyes with Sutured Posterior Chamber Intraocular Lens |
title_full_unstemmed |
Outcomes of Descemet Membrane Endothelial Keratoplasty for Vitrectomized Eyes with Sutured Posterior Chamber Intraocular Lens |
title_sort |
outcomes of descemet membrane endothelial keratoplasty for vitrectomized eyes with sutured posterior chamber intraocular lens |
publisher |
Hindawi Limited |
series |
Journal of Ophthalmology |
issn |
2090-004X 2090-0058 |
publishDate |
2018-01-01 |
description |
Purpose. To evaluate the clinical outcomes of Descemet membrane endothelial keratoplasty (DMEK) for vitrectomized eyes that underwent pars plana vitrectomy (PPV) and transscleral-sutured intraocular lens (IOL) implantation. Methods. In this retrospective study, DMEK cases were reviewed from medical records and divided into two groups: the eyes after PPV and transscleral-sutured IOL implantation (vitrectomized group) and the eyes with in-the-bag IOL implantation (control group) prior to DMEK. The main outcome measures included time of graft unfolding during surgery and best spectacle-corrected visual acuity (BSCVA), central corneal thickness (CCT), and endothelial cell density (ECD) at 1, 3, and 6 months after the DMEK. Results. Twenty-three eyes (vitrectomized group, n=8; control group, n=15) in 23 patients were included in this study. The unfolding time was significantly longer in the vitrectomized group than in the control group (P<0.001). Postoperative BSCVA was worse in the vitrectomized group (0.16 ± 0.15) than in the control group (−0.06 ± 0.06; P=0.017). The improvement in BSCVA was negatively correlated with the patients’ age and frequency of previous surgeries. Conclusions. Despite the longer graft unfolding time and limited visual recovery, DMEK should be applicable to vitrectomized eyes with transscleral-sutured IOL implantation. |
url |
http://dx.doi.org/10.1155/2018/3127126 |
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