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An “All-laser” Endothelial Transplant
Published on: July 6, 2015
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Cataract surgery with endothelial keratoplasty.
Muhammad A Ahad1, Sara M AlHilali, Deema E Jomar
1Cornea, External Eye Diseases and Refractive Surgery Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Current Opinion in Ophthalmology
|October 18, 2024
Summary
Combining cataract surgery with endothelial keratoplasty (EK) is effective for corneal diseases. Careful planning, IOL selection, and surgical technique optimize outcomes, with patient factors guiding sequential versus triple EK choices.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Cataract Surgery
Background:
- Corneal endothelial diseases often coexist with cataracts, necessitating combined surgical approaches.
- Advances in diagnostics and surgical techniques have refined combined cataract surgery and endothelial keratoplasty (EK).
Purpose of the Study:
- To summarize the combined approach of cataract surgery with EK.
- To address key considerations including IOL choice, sequential vs. triple EK decisions, surgical techniques, and postoperative management.
Main Methods:
- Review of recent literature on combined cataract surgery and EK.
- Analysis of imaging techniques for detecting corneal edema.
- Comparison of sequential and triple EK outcomes and complications.
Main Results:
- Advanced imaging aids in surgical decision-making for EK.
- Sequential and triple EK yield similar visual outcomes; triple EK offers faster recovery but may have higher complication rates.
- Hyperopic refractive surprises are common; avoid hydrophilic IOLs due to opacification risk.
Conclusions:
- Combined cataract surgery and EK is an effective treatment for concurrent corneal endothelial disease and cataract.
- Preoperative evaluation, IOL selection, and surgical technique are vital for optimal results.
- Patient-specific factors should guide the choice between sequential and triple EK procedures.
