Título: | FemtoLASIK After Descemet Membrane Endothelial Keratoplasty |
Autores: | Fernández Vega-Cueto, Luis ; Lisa Fernández, Carlos ; Naveiras, Miguel ; Madrid Costa, David ; Alfonso, José F. |
Tipo de documento: | texto impreso |
Editorial: | Wolters Kluwer Health, 2019-11-07 |
Dimensiones: | application/pdf |
Nota general: | info:eu-repo/semantics/openAccess |
Idiomas: | |
Palabras clave: | Estado = Publicado , Materia = Ciencias Biomédicas: Medicina: Cirugía , Materia = Ciencias Biomédicas: Medicina: Oftalmología , Materia = Ciencias Biomédicas: Óptica y optometría: Óptica geométrica e instrumental , Materia = Ciencias Biomédicas: Óptica y optometría: Láseres , Tipo = Artículo |
Resumen: |
Purpose: To evaluate the efficacy and safety of femtosecond laser-assisted in situ keratomileusis (FemtoLASIK) to correct the residual refractive error after Descemet membrane endothelial keratoplasty (DMEK). Methods: This case series study included 7 eyes that underwent FemtoLASIK after a DMEK surgery. The refractive error, uncorrected (UDVA) and corrected (CDVA) distance visual acuities, corneal topography (Sirius, CSO, Italy), and anterior segment optical coherence tomography (Visante, Carl Zeiss-Meditec AG, Jena, Germany) were registered at each postoperative follow-up visit. Results: All surgeries were uneventful, with no intraoperative or postoperative complications. The follow-up time after DMEK (before FemtoLASIK surgery) ranged from 18 to 36 months. The post-FemtoLASIK follow-up period ranged from 12 to 60 months. All cases experienced a significant improvement in UDVA after FemtoLASIK, all of them reaching a postoperative UDVA value ?20/32. None of the eyes lost lines of CDVA, and 1 case showed a gain of lines of CDVA. In all cases, the refractive error, UDVA, and CDVA values remained stable at their respective postoperative follow-up visits. Furthermore, all topographic and pachymetric parameters were stable at the different postoperative follow-up visits. Conclusions: Our findings suggest that the residual refractive error after DMEK surgery can be safely and effectively treated with FemtoLASIK. |
En línea: | https://eprints.ucm.es/id/eprint/58576/1/FemtoLASIK_After_Descemet_Membrane_Endothelial.96294.pdf |
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