Pre-Descemet’s Endothelial Keratoplasty (PDEK), Complicated by Dislocation of the IOL into the Vitreous. Case Report
https://doi.org/10.18008/1816-5095-2022-3-672-680
Abstract
This paper presents a case report of Pre-descemet’s endothelial keratoplasty (PDEK) performed on a 72-year-old patient diagnosed with bullous keratopathy, artiphakia, operated open-angle IIIА glaucoma. PDEK is a method of endothelial keratoplasty in which the non-functioning endothelial layer with Descemet’s membrane is replaced with a donor material consisting of Dua’s layer, Descemet’s membrane and endothelium. In the early postoperative period the IOL dislocated into the vitreous body. Both the technique of posterior lamellar keratoplasty and the surgical tactics that were successfully applied in this situation are described in detail. Clinical and functional results were studied with a follow-up period of 6 months.
About the Authors
Yu. Yu. KalinnikovRussian Federation
MD, Professor Eye diseases department,
Delegatskaya str., 20, p. 1, Moscow, 127473
Thi Hoang Anh Dinh
Viet Nam
postgraduate student, Delegatskaya str., 20, p. 1, Moscow, 127473;
ophthalmologist, Ba Trieu str., 85, Hanoi, 100000
A. V. Zolotarevsky
Russian Federation
MD, Professor, director,
Berezovaya Avenue, 5A, bld. 1–3, Moscow, 127273
S. Yu. Kalinnikova
Russian Federation
postgraduate student, ophthalmologist,
Beskudnikovsky blvd, 59A, Moscow, 127486
Xuan Hiep Nguyen
Viet Nam
DSc, Professor, director,
Ba Trieu str., 85, Hanoi, 100000
References
1. Elder M.J., Stack R.R. Globe rupture following penetrating keratoplasty: how often, why, and what can we do to prevent it? Cornea. 2004;23:776–780. DOI: 10.1097/01.ico.0000133996.99520.c4
2. Terry M.A. Trauma and wound rupture in endothelial keratoplasty. Cornea. 2008;27:127–128. DOI: 10.1097/ICO.0b013e31806c7981
3. Koenig S.B., Covert D.J., Dupps W.J. Jr. Visual acuity, refractive error, and endothelial cell density six months after Descemet stripping and automated endothelial keratoplasty (DSAEK). Cornea. 2007 Jul;26(6):670–674. DOI: 10.1097/ICO.0b013e3180544902
4. Price M.O., Giebel A.W., Fairchild K.M. Descemet’s membrane endothelial keratoplasty: prospective multicenter study of visual and refractive outcomes and endothelial survival. Ophthalmology. 2009 Dec;116(12):2361–2368. DOI: 10.1016/j.ophtha.2009.07.010
5. Dua H.S., Faraj L.A., Said D.G. Human corneal anatomy redefined: a novel pre-Descemet’s layer (Dua’s layer). Ophthalmology. 2013 Sep;120(9):1778–1785. DOI: 10.1016/j.ophtha.2013.01.018
6. Agarwal A., Dua H.S., Narang P. Pre-Descemet’s endothelial keratoplasty (PDEK). Br J Ophthalmol. 2014 Sep;98(9):1181–1185. DOI: 10.1136/bjophthalmol2013304639
7. Guerra F.P., Anshu A., Price M.O. Endothelial keratoplasty: fellow eyes comparison of Descemet stripping automated endothelial keratoplasty and Descemet membrane endothelial keratoplasty. Cornea. 2011 Dec;30(12):1382–1386. DOI: 10.1097/ ICO.0b013e31821ddd25
8. Anshu A., Price M.O., Tan D.T. Endothelial keratoplasty: a revolution in evolu tion. Surv Ophthalmol. 2012 MayJun;57(3):236–252. DOI: 10.1016/j.survophthal.2011.10.005
9. Cohen E., Trinh T., Santaella G. FourYear Survival of Descemet Membrane Endothelial Keratoplasty in Patients With Previous Glaucoma Surgery. Am J Ophthalmol. 2020 Oct;218:7–16. DOI: 10.1016/j.ajo.2020.05.020
10. Price Jr F.W., Price M.O. (eds) DSEK: What You Need to Know About Endothelial Keratoplasty. Thorofare, NJ, Slack Inc., 2009.
11. Price M.O., Price F.W. Keratoplasty with Glaucoma—Survive or Dive? US Ophthalmic Review. 2016;9(1):23–24.
12. Vajaranant T.S., Price M.O., Price F.W. Visual acuity and intraocular pressure after Descemet’s stripping endothelial keratoplasty in eyes with and without preexisting glaucoma. Ophthalmology. 2009;116:1644–1650. DOI: 10.1016/j.ophtha.2009.05.034
13. Agarwal A., Agarwal A., Narang P. Pre-Descemet Endothelial Keratoplasty With Infant Donor Corneas: A Prospective Analysis. Cornea. 2015 Aug;34(8):859–865. DOI: 10.1097/ICO.0000000000000486
14. Pereira N.C., Forseto A.D.S., Maluf R.C.P. Pre-Descemet’s endothelial keratoplasty: a simple, Descemet’s membrane scoring technique for successful graft preparation. Br J Ophthalmol. 2022 Jun;106(6):786789. DOI: 10.1136/ bjophthalmol2020317613
Review
For citations:
Kalinnikov Yu.Yu., Dinh T., Zolotarevsky A.V., Kalinnikova S.Yu., Nguyen X.H. Pre-Descemet’s Endothelial Keratoplasty (PDEK), Complicated by Dislocation of the IOL into the Vitreous. Case Report. Ophthalmology in Russia. 2022;19(3):672-680. (In Russ.) https://doi.org/10.18008/1816-5095-2022-3-672-680