Temporary iris-lens diaphragm to assist descemet membrane endothelial keratoplasty in aphakic patients

PURPOSE: Presenting a simple technique using an inversely implanted contact lens to create a temporary diaphragm to assist DMEK surgery in aphakic, partially aniridic and vitrectomized eyes. OBSERVATIONS: The postoperative course was without pressure abnormalities and the anterior chamber remained d...

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Detalles Bibliográficos
Autores principales: Szurman, Peter, Boden, Karl T., Rickmann, Annekatrin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421185/
https://www.ncbi.nlm.nih.gov/pubmed/36046519
http://dx.doi.org/10.1016/j.ajoc.2022.101688
Descripción
Sumario:PURPOSE: Presenting a simple technique using an inversely implanted contact lens to create a temporary diaphragm to assist DMEK surgery in aphakic, partially aniridic and vitrectomized eyes. OBSERVATIONS: The postoperative course was without pressure abnormalities and the anterior chamber remained deep. The cornea completely cleared within 3 weeks and remained clear after removal of the contact lens showing a corneal thickness of 544 μm and an intact endothelial cell pattern on endothelial cell microscopy after 3 months. CONCLUSION AND IMPORTANCE: The inversely implanted contact lens provides an easily accessible temporary diaphragm, making DMEK surgery a safer procedure even in complex eyes without an adequate posterior barrier.

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