May 2007
Volume 48, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2007
Endothelial Keratoplasty: Is DSAEK With Phacoemulsification Any Riskier Than DSAEK Alone?
Author Affiliations & Notes
  • M. A. Terry
    Corneal Services, Devers Eye Institute, Portland, Oregon
  • N. Shamie
    Corneal Services, Devers Eye Institute, Portland, Oregon
  • E. Chen
    Corneal Services, Devers Eye Institute, Portland, Oregon
  • D. Friend
    Corneal Services, Lions Sight and Hearing Foundation, Portland, Oregon
  • Footnotes
    Commercial Relationships M.A. Terry, None; N. Shamie, None; E. Chen, None; D. Friend, None.
  • Footnotes
    Support None.
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 1132. doi:https://doi.org/
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      M. A. Terry, N. Shamie, E. Chen, D. Friend; Endothelial Keratoplasty: Is DSAEK With Phacoemulsification Any Riskier Than DSAEK Alone?. Invest. Ophthalmol. Vis. Sci. 2007;48(13):1132. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose:: There is debate among transplant surgeons on the risks of doing DSAEK surgery combined with cataract surgery with a fear of increasing the dislocation rate when viscoelastic is used during phaco or damaging the donor endothelium from a newly placed, possibly unstable IOL. We compared results of DSAEK without phaco and DSAEK with phaco to determine relative risks with each procedure.

Methods:: In our first consecutive 142 DSAEK cases, 96 eyes received DSAEK alone (Group 1) and 46 eyes received DSAEK with phaco (Group 2). The dislocation rate and 6 month endothelial cell density (ECD) were compared between groups.

Results:: There was one dislocation in each group. At 6 months, Group 1 had a mean ECD cell loss of 33%+/-14% and Group 2 of 37% +/- 15%, with no significant difference between the two groups. (p=.36).

Conclusions:: Combining cataract surgery with DSAEK in the new "triple procedure" does not increase the risk of dislocation, nor does it increase measured endothelial cell loss at 6 months compared to DSAEK surgery alone.

Keywords: cornea: endothelium • cataract 
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