Descemet membrane endothelial keratoplasty with a stromal rim in the treatment of posterior polymorphous corneal dystrophy

Abstract

A 20-year-old patient, diagnosed with posterior polymorphous corneal dystrophy, developed corneal edema for which he underwent Descemet membrane endothelial keratoplasty with a stromal rim (DMEK-S) in the right eye. No intra- or postoperative complications were noted. At the last follow-up 2 years and 9 months after the procedure, the best corrected visual acuity was 1.0 and endothelial cell density declined from 3533 cells/mm 2 to 1012 cells/mm 2 . Despite the endothelial cell loss, DMEK-S appears to be a good alternative to other surgical techniques for the treatment of corneal endotheliopathies, and it may be of benefit to young patients.

Keywords

• Band-shaped keratopathy
• corneal dystrophy
• phototherapeutic keratectomy
• phototherapeutic keratectomy with amniotic membrane grafts
• scar
• and Salzmann nodular degeneration
• Kaplan Meier survival analysis
• multivariate Cox Proportional Hazard Regression analysis
• optical penetrating keratoplasties
• Myopia
• phakic refractive intraocular lens
• refractive surgery
• 23-Gauge vitrectomy
• rhegmatogenous retinal detachment
• sutureless vitrectomy
• Deep anterior lamellar keratoplasty
• endothelial cell density
• keratoconus
• penetrating keratoplasty
• Anterior chamber contamination
• cataract surgery
• conjunctival flora
• diabetics
• Cardiovascular disease
• diabetes
• diabetic retinopathy
• framingham risk score
• Central macular thickness
• multifocal electroretinogram
• normative database
• optical coherence tomography
• Macular microhole
• microperimetry
• spectral domain optical coherence tomography
• Age-related macular degeneration
• choroidal neovascularization
• photodynamic therapy
• vitreous traction
• Descemet membrane endothelial keratoplasty with a stromal rim
• endothelial keratoplasty
• posterior lamellar keratoplasty
• posterior polymorphous corneal dystrophy