Cargando…

Phacoemulsification, pinhole pupilloplasty, and pre-Descemet’s endothelial keratoplasty for keratoconus with Fuchs’ endothelial dystrophy

The comorbidity of keratoconus with Fuchs’ endothelial dystrophy with cataract is a rare clinical combination. We present an amalgamation of surgical techniques to manage the above clinical conditions and its complications in single setting. The modified triple procedure, namely, the phacoemulsifica...

Descripción completa

Detalles Bibliográficos
Autores principales: Kumar, Dhivya Ashok, Jacob, Soosan, Naveen, Preethi, Sivagnanam, Soundari, Agarwal, Amar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565928/
https://www.ncbi.nlm.nih.gov/pubmed/37602615
http://dx.doi.org/10.4103/IJO.IJO_3023_22
_version_ 1785118805966454784
author Kumar, Dhivya Ashok
Jacob, Soosan
Naveen, Preethi
Sivagnanam, Soundari
Agarwal, Amar
author_facet Kumar, Dhivya Ashok
Jacob, Soosan
Naveen, Preethi
Sivagnanam, Soundari
Agarwal, Amar
author_sort Kumar, Dhivya Ashok
collection PubMed
description The comorbidity of keratoconus with Fuchs’ endothelial dystrophy with cataract is a rare clinical combination. We present an amalgamation of surgical techniques to manage the above clinical conditions and its complications in single setting. The modified triple procedure, namely, the phacoemulsification, pinhole pupilloplasty, and pre-Descemet’s endothelial keratoplasty (PDEK) in the order of description is followed in single sitting. Lens removal by phacoemulsification, correction of irregular astigmatism by pinhole pupilloplasty (pinhole optics), and exchanging the endothelial layer for PDEK forms the main segments of the triple procedure. This combination of techniques may decrease the risk of multiple surgeries and its related complications. Moreover, it will allow the patient for faster visual rehabilitation by improving the uncorrected visual acuity and visual quality.
format Online
Article
Text
id pubmed-10565928
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-105659282023-10-12 Phacoemulsification, pinhole pupilloplasty, and pre-Descemet’s endothelial keratoplasty for keratoconus with Fuchs’ endothelial dystrophy Kumar, Dhivya Ashok Jacob, Soosan Naveen, Preethi Sivagnanam, Soundari Agarwal, Amar Indian J Ophthalmol Surgical Technique The comorbidity of keratoconus with Fuchs’ endothelial dystrophy with cataract is a rare clinical combination. We present an amalgamation of surgical techniques to manage the above clinical conditions and its complications in single setting. The modified triple procedure, namely, the phacoemulsification, pinhole pupilloplasty, and pre-Descemet’s endothelial keratoplasty (PDEK) in the order of description is followed in single sitting. Lens removal by phacoemulsification, correction of irregular astigmatism by pinhole pupilloplasty (pinhole optics), and exchanging the endothelial layer for PDEK forms the main segments of the triple procedure. This combination of techniques may decrease the risk of multiple surgeries and its related complications. Moreover, it will allow the patient for faster visual rehabilitation by improving the uncorrected visual acuity and visual quality. Wolters Kluwer - Medknow 2023-09 2023-08-21 /pmc/articles/PMC10565928/ /pubmed/37602615 http://dx.doi.org/10.4103/IJO.IJO_3023_22 Text en Copyright: © 2023 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Surgical Technique
Kumar, Dhivya Ashok
Jacob, Soosan
Naveen, Preethi
Sivagnanam, Soundari
Agarwal, Amar
Phacoemulsification, pinhole pupilloplasty, and pre-Descemet’s endothelial keratoplasty for keratoconus with Fuchs’ endothelial dystrophy
title Phacoemulsification, pinhole pupilloplasty, and pre-Descemet’s endothelial keratoplasty for keratoconus with Fuchs’ endothelial dystrophy
title_full Phacoemulsification, pinhole pupilloplasty, and pre-Descemet’s endothelial keratoplasty for keratoconus with Fuchs’ endothelial dystrophy
title_fullStr Phacoemulsification, pinhole pupilloplasty, and pre-Descemet’s endothelial keratoplasty for keratoconus with Fuchs’ endothelial dystrophy
title_full_unstemmed Phacoemulsification, pinhole pupilloplasty, and pre-Descemet’s endothelial keratoplasty for keratoconus with Fuchs’ endothelial dystrophy
title_short Phacoemulsification, pinhole pupilloplasty, and pre-Descemet’s endothelial keratoplasty for keratoconus with Fuchs’ endothelial dystrophy
title_sort phacoemulsification, pinhole pupilloplasty, and pre-descemet’s endothelial keratoplasty for keratoconus with fuchs’ endothelial dystrophy
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565928/
https://www.ncbi.nlm.nih.gov/pubmed/37602615
http://dx.doi.org/10.4103/IJO.IJO_3023_22
work_keys_str_mv AT kumardhivyaashok phacoemulsificationpinholepupilloplastyandpredescemetsendothelialkeratoplastyforkeratoconuswithfuchsendothelialdystrophy
AT jacobsoosan phacoemulsificationpinholepupilloplastyandpredescemetsendothelialkeratoplastyforkeratoconuswithfuchsendothelialdystrophy
AT naveenpreethi phacoemulsificationpinholepupilloplastyandpredescemetsendothelialkeratoplastyforkeratoconuswithfuchsendothelialdystrophy
AT sivagnanamsoundari phacoemulsificationpinholepupilloplastyandpredescemetsendothelialkeratoplastyforkeratoconuswithfuchsendothelialdystrophy
AT agarwalamar phacoemulsificationpinholepupilloplastyandpredescemetsendothelialkeratoplastyforkeratoconuswithfuchsendothelialdystrophy