Pull-through insertion of EndoArt for complex eyes
Mohammed M Abusayf1,2, Gavin S Tan1,3,4, Jodhbir S Mehta1,3,4
1Singapore National Eye Center, Singapore.
American Journal of Ophthalmology Case Reports
|January 1, 2024
Summary
A novel pull-through insertion technique successfully implanted the EndoArt device in a complex eye case. This method offers improved control for challenging surgeries involving endothelial failure.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Endothelial failure in complex eyes necessitates advanced treatment options.
- The EndoArt device is designed for treating endothelial dysfunction in challenging ocular conditions.
Observation:
- A case involving advanced pseudophakic bullous keratopathy with aniridia, prior vitrectomy, and tube implants presented surgical difficulties.
- Initial EndoArt implantation failed, with the device lost to the vitreous cavity.
- A pull-through insertion technique was successfully employed for a second EndoArt device implantation.
Findings:
- The pull-through technique provided enhanced control during implantation in a complex eye.
- Post-implantation, corneal edema gradually resolved, and epithelial bullae disappeared over one year.
- Central corneal thickness (CCT) significantly decreased from 911µm to 691µm.
Implications:
- The pull-through insertion technique is a viable alternative for EndoArt implantation in complex eyes.
- This method can improve surgical outcomes for patients with unstable iris-lens diaphragms or other challenging anatomical factors.
- Successful EndoArt implantation using this technique offers a promising solution for managing endothelial failure in difficult cases.
