Mini descemet membrane stripping (m-DMES) in patients with Fuchsâ endothelial dystrophy: A new method
We present two cases with focal corneal edema due to Fuchsâ endothelial dystrophy that were successfully treated with mini Descemet membrane stripping (m-DMES) (diameter of 3â4Â mm; at the area of preexisting focal corneal edema) without endothelial replacement during cataract surgery. Specular micr...
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Wolters Kluwer Medknow Publications
2017-10-01
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Series: | Saudi Journal of Ophthalmology |
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doaj-d372a36420f0424ab5bb093745d6b0422021-04-02T20:13:19ZengWolters Kluwer Medknow PublicationsSaudi Journal of Ophthalmology1319-45342017-10-01314275279Mini descemet membrane stripping (m-DMES) in patients with Fuchsâ endothelial dystrophy: A new methodGeorge D. Kymionis0Dimitrios A. Liakopoulos1Michael A. Grentzelos2Irini Naoumidi3Georgios A. Kontadakis4Konstantinos I. Tsoulnaras5Myrsini K. Petrelli6Department of Ophthalmology, Faculty of Medicine, University of Athens, Athens, Greece; Jules-Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland; Corresponding author at: Department of Ophthalmology, Medical School, National and Kapodistrian University of Athens, 115 27 Athens, Greece.Vardinoyiannion Eye Institute of Crete (VEIC), Faculty of Medicine, University of Crete, Heraklion, Crete, GreeceVardinoyiannion Eye Institute of Crete (VEIC), Faculty of Medicine, University of Crete, Heraklion, Crete, GreeceVardinoyiannion Eye Institute of Crete (VEIC), Faculty of Medicine, University of Crete, Heraklion, Crete, GreeceVardinoyiannion Eye Institute of Crete (VEIC), Faculty of Medicine, University of Crete, Heraklion, Crete, GreeceVardinoyiannion Eye Institute of Crete (VEIC), Faculty of Medicine, University of Crete, Heraklion, Crete, GreeceDepartment of Ophthalmology, Faculty of Medicine, University of Athens, Athens, GreeceWe present two cases with focal corneal edema due to Fuchsâ endothelial dystrophy that were successfully treated with mini Descemet membrane stripping (m-DMES) (diameter of 3â4Â mm; at the area of preexisting focal corneal edema) without endothelial replacement during cataract surgery. Specular microscopy demonstrated Fuchsâ endothelial dystrophy and histopathologic evaluation confirmed the diagnosis. Anterior segment optical coherence tomography and confocal microscopy were used for the evaluation of the corneal tissue recovery course after the surgical procedure. In both patients, we observed an initial aggravation of corneal edema in the area of DM removal for two months followed by gradual improvement. At four months postoperatively, corneal edema had completely regressed resulting in corneal clearance and visual acuity improvement in both cases. M-DMES without graft insertion represents a promising alternative surgical technique that could be applied in specific cases of Fuchsâ endothelial dystrophy with focal corneal edema. Keywords: Corneal edema, Descemet membrane, Fuchsâ dystrophy, Mini central DM striping, Partial removalhttp://www.sciencedirect.com/science/article/pii/S1319453417300796 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
George D. Kymionis Dimitrios A. Liakopoulos Michael A. Grentzelos Irini Naoumidi Georgios A. Kontadakis Konstantinos I. Tsoulnaras Myrsini K. Petrelli |
spellingShingle |
George D. Kymionis Dimitrios A. Liakopoulos Michael A. Grentzelos Irini Naoumidi Georgios A. Kontadakis Konstantinos I. Tsoulnaras Myrsini K. Petrelli Mini descemet membrane stripping (m-DMES) in patients with Fuchsâ endothelial dystrophy: A new method Saudi Journal of Ophthalmology |
author_facet |
George D. Kymionis Dimitrios A. Liakopoulos Michael A. Grentzelos Irini Naoumidi Georgios A. Kontadakis Konstantinos I. Tsoulnaras Myrsini K. Petrelli |
author_sort |
George D. Kymionis |
title |
Mini descemet membrane stripping (m-DMES) in patients with Fuchsâ endothelial dystrophy: A new method |
title_short |
Mini descemet membrane stripping (m-DMES) in patients with Fuchsâ endothelial dystrophy: A new method |
title_full |
Mini descemet membrane stripping (m-DMES) in patients with Fuchsâ endothelial dystrophy: A new method |
title_fullStr |
Mini descemet membrane stripping (m-DMES) in patients with Fuchsâ endothelial dystrophy: A new method |
title_full_unstemmed |
Mini descemet membrane stripping (m-DMES) in patients with Fuchsâ endothelial dystrophy: A new method |
title_sort |
mini descemet membrane stripping (m-dmes) in patients with fuchsâ endothelial dystrophy: a new method |
publisher |
Wolters Kluwer Medknow Publications |
series |
Saudi Journal of Ophthalmology |
issn |
1319-4534 |
publishDate |
2017-10-01 |
description |
We present two cases with focal corneal edema due to Fuchsâ endothelial dystrophy that were successfully treated with mini Descemet membrane stripping (m-DMES) (diameter of 3â4Â mm; at the area of preexisting focal corneal edema) without endothelial replacement during cataract surgery. Specular microscopy demonstrated Fuchsâ endothelial dystrophy and histopathologic evaluation confirmed the diagnosis. Anterior segment optical coherence tomography and confocal microscopy were used for the evaluation of the corneal tissue recovery course after the surgical procedure. In both patients, we observed an initial aggravation of corneal edema in the area of DM removal for two months followed by gradual improvement. At four months postoperatively, corneal edema had completely regressed resulting in corneal clearance and visual acuity improvement in both cases. M-DMES without graft insertion represents a promising alternative surgical technique that could be applied in specific cases of Fuchsâ endothelial dystrophy with focal corneal edema. Keywords: Corneal edema, Descemet membrane, Fuchsâ dystrophy, Mini central DM striping, Partial removal |
url |
http://www.sciencedirect.com/science/article/pii/S1319453417300796 |
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