Combined DSEK and Transconjunctival Pars Plana Vitrectomy

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.