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Updated: Apr 17, 2026
Corneal Donor Tissue Preparation for Descemet's Membrane Endothelial Keratoplasty
Published on: September 17, 2014
Descemet membrane stripping endothelial keratoplasty for Descemet membrane detachment following phacoemulsification
1Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, South Korea.
Objective:
To report successful vision restoration after Descemet membrane stripping endothelial keratoplasty (DSEK) for 3 cases with extensive Descemet membrane detachment (DMD) after phacoemulsification.
Design:
Retrospective case series.
Participants:
Three patients with extensive DMD after phacoemulsification.
Methods:
Three patients with DMD after phacoemulsification were reviewed. All patients developed DMD affecting more than 70% of the cornea and showed significant corneal edema, which did not resolve with air bubble tamponade. To resolve corneal edema, we performed DSEK.
Results:
Successful postoperative resolution of corneal edema was achieved for all 3 patients. Best corrected visual acuity improved from 2.20 ± 0.72 (logMAR) to 0.24 ± 0.06 (logMAR). No complications were noted during 24.7 ± 3.2 months of follow-up (range 21-27 months). The change in spherical equivalent from pre-DSEK to 1 year postoperatively was +0.87 D (range +0.63 to +1.25 D).
Conclusions:
DSEK may be a viable surgical option for treatment of patients with extensive DMD after phacoemulsification. However, when DSEK is contemplated, intraocular lens exchange for hyperopic shift after DSEK must be considered.
