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Combined Cataract/DSEK/DMEK: Changing Expectations.

Francis W Price1, Marianne O Price2

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|July 21, 2017
PubMed
Summary
This summary is machine-generated.

Endothelial keratoplasty (EK) combined with cataract surgery offers rapid visual recovery. Surgical approach (combined or staged) depends on patient factors and surgeon expertise for optimal outcomes.

Keywords:
DMEKDSEKFuchs dystrophycataractendothelial keratoplasty

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Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Cataract Surgery

Background:

  • Endothelial keratoplasty (EK) significantly improves visual recovery and outcomes.
  • Fuchs endothelial dystrophy and other endothelial decompensations often coexist with cataracts.
  • Surgical planning for combined cataract and corneal transplant surgery requires careful consideration.

Purpose of the Study:

  • To discuss the decision-making process for combined versus staged cataract and endothelial keratoplasty surgery.
  • To outline factors influencing the choice between combined or staged procedures.
  • To highlight current surgical techniques and anesthetic methods.

Main Methods:

  • Routine use of phacoemulsification for cataract removal.
  • Performance of combined cataract surgery and EK under topical anesthesia.
  • Assessment of anterior chamber depth and corneal surface for surgical planning.

Main Results:

  • Combined surgery offers rapid visual recovery and improved outcomes.
  • Surgical approach is tailored based on surgeon ability, patient eye condition, and patient preference.
  • Topical anesthesia is routinely used for combined procedures.

Conclusions:

  • The decision for combined or staged surgery is multifactorial, involving patient-specific eye conditions and surgeon expertise.
  • Careful preoperative assessment is crucial for successful outcomes in combined cataract and EK surgery.
  • Patient preference regarding one versus two procedures is an important consideration.