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Magdaléna Netuková, Deli Siveková , Katerina Liehneová Magdalena Vokrojová , Pavel Studený

Clinical outcomes after D escemets M embrane Endothelial Keratoplasty with Stromal Rim surgery combined with cataract extraction. Magdaléna Netuková, Deli Siveková , Katerina Liehneová Magdalena Vokrojová , Pavel Studený Dpt . of Ophthalmology , Vinohrady Teaching Hospital

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Magdaléna Netuková, Deli Siveková , Katerina Liehneová Magdalena Vokrojová , Pavel Studený

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  1. Clinical outcomes after DescemetsMembraneEndothelialKeratoplastywithStromalRimsurgery combined with cataract extraction Magdaléna Netuková, DeliSiveková, KaterinaLiehneová Magdalena Vokrojová, Pavel Studený Dpt. ofOphthalmology, Vinohrady TeachingHospital Srobarova 50, 100 34 Prague 10, CzechRepublic Authorshave NO finatialinterest

  2. Aimofthe study • To present clinical outcomes of patients who underwent DescemetsMembraneEndothelialKeratoplastywithStromalRim (DMEK-S) combined with cataract extraction in a single surgery • To evaluatesafetyandefficacyofthistrippleprocedure

  3. PatientsandMethods • Retrospective nonrandomized single center study • 30 eyesof 25 patientswereenrolled • 14 female, 11 male • Indication for this surgery was cataract with endothelial dystrophy • Mean age was 68 years (55-78 years) • Mean follow-up time was 15 months (9-26 months)

  4. Fuchs endothelialdystrophy

  5. Methods - pocedure • Standard Cataractsurgerywith single-pieceHyrophobicAcrylic IOL implantation • Profoundremovalofallviscoelasticmaterial • Descemetorhexiswith help ofTrypanBluestaining • Preparationof donor DescemetsMembranewithstromalrim(details – Studeny P., etal., Br. J. Ophthalmol., 2009) • ImplantationoftheMembrane • FixationoftheMembranewithAirbubble

  6. Results Endothelial Cell Dednsitypostop: 983 bb/mm2(±270,03 SD)

  7. Complications Peroperative: • No major peroperativecomplicationsweredetected Postoperative: • In 6 eyesair had to bereinjected, usually because of partial graftdetachments • 3 grafts failed to clear and required an exchange

  8. Conclusion • Our experience shows, that the combination of DMEK-S andcataractsurgeryis safe and effectiveprocedure for the patient • Strictlyindividualaproach to eachpatientisnecessary • Goodpatient´s complianceisimportant

  9. Thankyou Magdalena Netukova, MD PhD Dpt. of Ophthalmology Vinohrady TeachingHospital Srobarova 50, 100 34 Prague 10 CzechRepublic E-mail: netukova@fnkv.cz

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