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Celia Zinger, Vincent Borderie; Cataract and Fuchs Dystrophy. Invest. Ophthalmol. Vis. Sci. 2013;54(15):3009. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate corneal decompensation after scleral cataract surgery without triple procedure.
Retrospective observational cohort. Surgery performed by one experimented surgeon at Hopital des XV-XX, Paris, France, from September 2006 until August 2012.Eighty-seven eyes with known corneal guttata underwent scleral phacoemulsification and Intraocular Lens (IOL) Implantation. Inclusion criteria was confluent guttae in central cornea. The main outcome was occurrence of corneal graft with Transfixiant Keratoplasty (TK) or Descemet’s stripping automated endothelial keratoplasty (DSAEK) secondary to phacoemulsification and IOL Implantation. Survival curve was estimated using Kaplan-Meier method on a 6 year follow-up basis.
7 Events (8,75%) occured in a median time of 227 days [30 ; 779] after scleral phacoemulsification and IOL Implantation. Sex ratio was 3M/7W. Staging of Fuchs endothelial dystrophy was not taken into account.
Corneal decompensation being rare in this cohort study and scleral phacoemulsification well tolerated, it seems that triple procedure shouldn’t be performed first whilst managing cataract surgery in Fuchs Endothelial dystrophy.
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