Manual Medium Incision Cataract Surgery with Descemet's Stripping Endothelial Keratoplasty: A Novel Triple Procedure.
AuthorYoung, AL; Chow, PPC; Jhanji, V
Source TitleInternational Scholarly Research Notices
University of Melbourne Author/sJhanji, Vishal
AffiliationOphthalmology (Eye & Ear Hospital)
Document TypeJournal Article
CitationsYoung, A. L., Chow, P. P. C. & Jhanji, V. (2015). Manual Medium Incision Cataract Surgery with Descemet's Stripping Endothelial Keratoplasty: A Novel Triple Procedure.. Int Sch Res Notices, 2015, pp.745409-. https://doi.org/10.1155/2015/745409.
Access StatusOpen Access
Open Access at PMChttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4897396
Purpose. To describe the surgical technique and outcomes of combined Descemet's stripping endothelial keratoplasty and medium incision manual cataract surgery (MICS) in Chinese eyes. Methods. Surgery was performed in 8 eyes of 7 patients (5 females, 2 males). Primary outcomes included success of the surgery and final outcomes. Results. Surgery was performed in patients with Fuchs' endothelial dystrophy and cataract (mean age 75.5 ± 3.64 years). MICS tunnel was used to insert the donor lenticule into the anterior chamber. All surgeries were performed successfully. Graft dislocation was seen in 1 eye requiring repositioning with intracameral sulfur hexafluoride gas on the first postoperative day. Graft rejection was noted in one patient at the end of one year. The mean decimal best-corrected visual acuity improved from 0.1 ± 0.07 to 0.3 ± 0.15. Suboptimal visual acuity in 2 cases was due to radiotherapy-related optic neuropathy (n = 1) and myopic maculopathy (n = 1). The mean target spherical refraction was -1.11 ± 0.17 diopters (myopic) and the mean achieved spherical refraction was 1.18 ± 0.87 diopters (hyperopic) resulting in a mean hyperopic shift of 2.2 diopters. Conclusions. The approach of combined Descemet's stripping endothelial keratoplasty and MICS is a viable surgical technique for cases with endothelial dysfunction and cataract.
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