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- W2788573658 abstract "PURPOSE: To evaluate the feasibility and outcome of combined Descemet’s membraneendothelial keratoplasty (DMEK), phacoemulsification and intraocular lens (IOL)implantation in the management of concomitant endothelial disorder, shallow chamberand cataract.SETTING: Clinical study at a tertiary referral center.METHODS: Prospective, nonrandomized study that included eight eyes of eight patientswith concomitant endothelial disease and advanced cataract. In a first group of eightconsecutive eyes, combined phacoemulsification, IOL implantation and DMEK wereperformed. Grafts were inserted with an ICL injector, encapsulated within viscoelasticplugs. Femtosecond laser-assisted descemetorhexis was performed in one case. The mainoutcome measures were best spectacle corrected visual acuity (BSCVA), endothelial celldensity (ECD) and intra- and postoperative complications.RESULTS: The procedure was successful in 75% (6/8) of cases. Two required a secondaryregraft due to complete graft detachment and late failure. At six months, mean ECD losswas 55.4±24.0%, with an absolute mean ECD of 1248.3±755.0 cells/mm2. At six months,100% (5/5) of patients with good visual potential reached BSCVA of ≥0.5, 80% (4/5) ≥0.8,and 60% (3/5) ≥1.0.CONCLUSIONS: The combined triple procedure seems to be safe and effective in themanagement of cases with concomitant advanced Fuchs’ endothelial dystrophy, advancedcataract and shallow chamber. Endothelial cell density loss beyond six months remainsunder investigation." @default.
- W2788573658 created "2018-03-06" @default.
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- W2788573658 date "2013-01-01" @default.
- W2788573658 modified "2023-09-24" @default.
- W2788573658 title "Combined Descemet’s membrane endothelial keratoplasty, phacoemulsification and intraocular lens implantation in Fuchs´dystrophy" @default.
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