Phacoemulsification, pinhole pupilloplasty, and pre-Descemet抯 endothelial keratoplasty for keratoconus with Fuchs� endothelial dystrophy
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Date
2023-09
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
The comorbidity of keratoconus with Fuchs� endothelial dystrophy with cataract is a rare clinical combination. We present an amalgamation of surgical techniques to manage the above clinical conditions and its complications in single setting. The modified triple procedure, namely, the phacoemulsification, pinhole pupilloplasty, and pre-Descemet抯 endothelial keratoplasty (PDEK) in the order of description is followed in single sitting. Lens removal by phacoemulsification, correction of irregular astigmatism by pinhole pupilloplasty (pinhole optics), and exchanging the endothelial layer for PDEK forms the main segments of the triple procedure. This combination of techniques may decrease the risk of multiple surgeries and its related complications. Moreover, it will allow the patient for faster visual rehabilitation by improving the uncorrected visual acuity and visual quality.
Description
Keywords
Fuchs� endothelial dystrophy, irregular astigmatism, keratoconus, pinhole pupilloplasty, pre?Descemet抯 endothelial keratoplasty
Citation
Kumar Dhivya Ashok, Jacob Soosan, Naveen Preethi, Sivagnanam Soundari, Agarwal Amar. Phacoemulsification, pinhole pupilloplasty, and pre-Descemet抯 endothelial keratoplasty for keratoconus with Fuchs� endothelial dystrophy. Indian Journal of Ophthalmology. 2023 Sep; 71(9): 3242-3245