Intrastromal Corneal Ring Segments Implantation and Descemet Membrane Endothelial Keratoplasty for Coexisting Keratoconus and Fuchs Endothelial Dystrophy

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art_BERTINO_Intrastromal_Corneal_Ring_Segments_Implantation_and_Descemet_Membrane_2020.PDF (422.55 KB)
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0
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article
Data de publicação
2020
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Scopus
Web of Science
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SLACK INC
Autores
MAGALHAES, Renata Soares
CRIADO, Guilherme Garcia
NOVAIS, Gustavo Amorim
JR, Renato Ambrosio
Citação
JOURNAL OF REFRACTIVE SURGERY, v.36, n.10, p.703-706, 2020
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PURPOSE: To report two cases of coexisting keratoconus and Fuchs endothelial dystrophy treated with intrastromal corneal ring segments (ICRS) implantation and Descemet membrane endothelial keratoplasty (DMEK). METHODS: Two patients with coexisting keratoconus and Fuchs endothelial dystrophy underwent ICRS implantation and DMEK, in a two-stage procedure. Follow-up evaluation included Scheimpftug tomography and optical coherence tomography. RESULTS: In both cases, ICRS implantation improved corneal topography and DMEK restored normal corneal thickness. Corrected distance visual acuity improved from 20/100 to 20/30 and from 20/60 to 20/25. Urrets-Zavatia syndrome was diagnosed in one case and addressed with colored contact tens fitting. CONCLUSIONS: Low vision resulting from coexisting keratoconus and Fuchs endothelial dystrophy might be addressed more selectively with posterior lamellar keratoplasty and ICRS implantation. Urrets-Zavalia syndrome must be considered a possible complication after DMEK, especially in patients with keratoconus.
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https://observatorio.fm.usp.br/handle/OPI/42427
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Coleções
Artigos e Materiais de Revistas Científicas - FM/Outros
Artigos e Materiais de Revistas Científicas - LIM/33