Clinical Outcomes of Descemet's Membrane Endothelial Keratoplasty: A 1-Year Retrospective Study
Journal of the Korean Ophthalmological Society
;
: 1489-1496, 2015.
Article
Dans Coréen
| WPRIM
| ID: wpr-65435
ABSTRACT
PURPOSE:
To evaluate the 1-year results of Descemet's membrane endothelial keratoplasty (DMEK) in Korea.METHODS:
The medical records of 9 patients (10 eyes) with endothelial disease who underwent DMEK from January 2012 to December 2013, and were followed up for more than 12 months were reviewed retrospectively.RESULTS:
In 8 eyes with successful results after surgery, best corrective visual acuity (BCVA) was significantly improved from 1.64 +/- 0.21 (log MAR, mean) to 0.35 +/- 0.22 at 1 month and was maintained at 12 months (p = 0.012, Wilcoxon signed ranks test). BCVA at postoperative 3, 6 and 12 months were gradually increased (0.25 +/- 0.23, 0.20 +/- 0.17 and 0.16 +/- 0.17 log MAR). Endothelial cell counts were 1,996 +/- 528/mm2, 1,564 +/- 174/mm2 and 1,463 +/- 541/mm2, 1,205 +/- 358/mm2 at 1, 3, 6, and 12 months after surgery, tended to decrease but showed no statistical significance. There was no statistical difference in astigmatism before and 3 months after the operation (3.32 +/- 2.36 diopter and 2.57+/- 1.44 diopter). Primary graft failure occurred in 2 eyes and 1 received reoperation. Total detachment was found in 1 eye.CONCLUSIONS:
The 1-year results of DMEK showed fast visual recovery which was maintained for 12 months. DMEK may be a very efficient option for the surgical management of corneal endothelial disease.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Réintervention
/
Astigmatisme
/
Acuité visuelle
/
Dossiers médicaux
/
Études rétrospectives
/
Transplantation de cornée
/
Cornée
/
Transplants
/
Cellules endothéliales
/
Lame limitante postérieure
Type d'étude:
Étude observationnelle
Limites du sujet:
Humains
Pays comme sujet:
Asie
langue:
Coréen
Texte intégral:
Journal of the Korean Ophthalmological Society
Année:
2015
Type:
Article
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