Descemet membrane endothelial keratoplasty (DMEK) in eyes with chronic ocular hypotony following glaucoma surgery.

摘要: PURPOSE To assess the outcomes of Descemet membrane endothelial keratoplasty (DMEK) in patients with ocular hypotony following glaucoma surgery. DESIGN retrospective case series. METHODS SETTING: Multicenter PATIENTS\INTERVENTION: Hypotonic eyes prior surgery which underwent DMEK between January 2013 and July 2019 Israel (two centers) Canada (one center). MAIN OUTCOME MEASURES Pre/postoperative corrected distance visual acuity (CDVA), complications, 3-6-month cell loss, intraocular pressure (IOP). RESULTS The study included 11 procedures performed 10 4 males 6 females aged 65-84 years. Indications for 7 cases pseudophakic bullous keratopathy, two failed one DSAEK. All had at least previous trabeculectomy operation. One patient tube placement procedure. Two CDVA improved significantly from 1.52±0.68 logMAR preoperatively to 0.49±0.32 three months postoperatively (p<0.001). Rebubbling occurred 3/11 (27%). Endothelial loss 6-12 was 60%±16 (range 41-89%). At last follow up visit, 6/11 (54%) grafts were clear. remaining five 1 years postoperatively. Preoperative IOP 5.1±1.6mmHg 1-7mmHg). In all but patient, postoperative did not increase more than 13mmHg. cases, decreased 5 7mmHg preoperatively, 1mmHg year CONCLUSION is a valid procedure treatment corneal edema hypotonic procedures. These benefit improvement vision post DMEK.