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Combined DSEK and Transconjunctival Pars Plana Vitrectomy.

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Area of Science:

  • Ophthalmology
  • Surgical Innovation

Background:

  • Bullous keratopathy often requires corneal transplantation.
  • Posterior segment pathologies can complicate corneal surgery.
  • Combined procedures aim to address multiple ocular issues simultaneously.

Purpose of the Study:

  • To describe a combined surgical technique for bullous keratopathy and posterior segment pathology.
  • To evaluate the safety and efficacy of this combined approach.
  • To provide technical guidelines for the procedure.

Main Methods:

  • Three patients underwent combined Descemet stripping with endothelial keratoplasty (DSEK) and transconjunctival pars plana vitrectomy (TPP V).
  • Surgical technique and case histories were documented.
  • Anatomic and visual outcomes were assessed.

Main Results:

  • Excellent anatomic and visual outcomes were achieved in all three patients.
  • The combined minimally invasive techniques facilitated rapid recovery.
  • Patients experienced a swift return of function and visual acuity.

Conclusions:

  • Combined DSEK and TPPV is a viable and effective surgical option for patients with concurrent corneal and posterior segment diseases.
  • The procedure offers advantages in terms of efficiency and patient recovery.
  • Technical guidelines and limitations were established based on this experience.