Purchase this article with an account.
F. D. newman, B. huang, W. roplegle; A Comparative Study: Descemet Stripping Endothelial Keratoplasty and Phacoemulsification with Intraocular Lens Implantation as a Staged versus Triple Procedure. Invest. Ophthalmol. Vis. Sci. 2009;50(13):2217.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
A comparative retrospective analysis of 15 consecutive patients who underwent DSEK for corneal edema and guttatae from Fuchs endothelial dystrophy and phacoemulsification with posterior chamber IOL as either a triple procedure (8 eyes) or staged procedure (7 eyes). Postoperative best-corrected visual acuities (BCVA) at 1, 2, and 4 months, refractive outcomes, and rate of endothelial graft dislocations were compared.
The 8 eyes that underwent the triple procedure had a median postoperative BCVA of 20/50, 20/40, and 20/30 at 1, 2, and 4 months respectively compared to the 7 eyes that underwent staged procedures with median BCVA of 20/100, 20/50, and 20/40 at the same postoperative times frames (P=0.29, P=0.007, P=0.082). The rate of endothelial graft detachment was 3 of 8 eyes (37%) in the triple procedure and 2 of 7 (28%) in the staged procedure. The postoperative spherical equivalent refractive error was within 1.00D of emmetropia in 83% and within 2.00D of emmetropia in 100% of eyes.
This PDF is available to Subscribers Only