Long-term Results of a Combined Procedure of Cataract Surgery and Descemet Membrane Endothelial Keratoplasty With Stromal Rim
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F21%3A43920761" target="_blank" >RIV/00216208:11120/21:43920761 - isvavai.cz</a>
Alternative codes found
RIV/00064173:_____/21:N0000254
Result on the web
<a href="https://doi.org/10.1097/ICO.0000000000002574" target="_blank" >https://doi.org/10.1097/ICO.0000000000002574</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1097/ICO.0000000000002574" target="_blank" >10.1097/ICO.0000000000002574</a>
Alternative languages
Result language
angličtina
Original language name
Long-term Results of a Combined Procedure of Cataract Surgery and Descemet Membrane Endothelial Keratoplasty With Stromal Rim
Original language description
PURPOSE: To evaluate the long-term results of combining cataract surgery, intraocular lens (IOL) implantation, and Descemet membrane endothelial keratoplasty with peripheral stromal support (DMEK-S). METHODS: The outcomes of 107 eyes of 37 patients who had undergone a combination of cataract surgery, IOL implantation, and DMEK-S between October 2007 and February 2015 were retrospectively evaluated. The average follow-up duration was 18.2 +- 18.3 months (range, 6-84 months). Changes in uncorrected and corrected distance visual acuity, spherical equivalent, and corneal endothelial cell density were analyzed. Intraoperative and postoperative complications were also recorded. RESULTS: The mean logMAR uncorrected distance visual acuity improved from 0.92 +- 0.60 preoperatively to 0.33 +- 0.33, 0.28 +- 0.25, 0.24 +- 0.20, and 0.27 +- 0.27 at 6, 12, 24, and 36 months postoperatively (P < 0.001), respectively. The mean logMAR corrected distance visual acuity improved from 0.62 +- 0.65 preoperatively to 0.17 +- 0.29, 0.13 +- 0.21, 0.07 +- 0.16, and 0.11 +- 0.23 at 6, 12, 24, and 36 months postoperatively (P < 0.001), respectively. The mean endothelial cell density decreases were 50.7% +- 21.1%, 50.8% +- 19.8%, 60.7% +- 16.6%, 62.2% +- 11.8%, and 61.8% +- 20.0% at 6, 12, 24, 36, and 48 months after surgery, respectively. Similar trends, although with slightly better visual outcomes, were found in the subgroup of patients without other eye diseases. The mean final deviation from intended spherical equivalent was 0.77 +- 1.19 D, representing a hyperopic shift. CONCLUSIONS: A combined procedure of cataract surgery, IOL implantation, and DMEK-S is an effective method of treatment in patients with combined corneal disease and cataract, maintaining visual rehabilitation in the long term. Future developments should be performed to minimize the incidence of complications.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30207 - Ophthalmology
Result continuities
Project
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Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2021
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Cornea
ISSN
0277-3740
e-ISSN
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Volume of the periodical
40
Issue of the periodical within the volume
5
Country of publishing house
US - UNITED STATES
Number of pages
7
Pages from-to
628-634
UT code for WoS article
000656630100015
EID of the result in the Scopus database
2-s2.0-85103683492