Phacoemulsification, pinhole pupilloplasty, and pre-Descemet抯 endothelial keratoplasty for keratoconus with Fuchs� endothelial dystrophy

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dc.contributor.authorKumar, Dhivya Ashoken_US
dc.contributor.authorJacob, Soosanen_US
dc.contributor.authorNaveen, Preethien_US
dc.contributor.authorSivagnanam, Soundarien_US
dc.contributor.authorAgarwal, Amaren_US
dc.date.accessioned2023-08-25T06:38:17Z
dc.date.available2023-08-25T06:38:17Z
dc.date.issued2023-09
dc.description.abstractThe 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.en_US
dc.identifier.affiliationsDepartment of Uvea and Oculoplasty, Dr. Agarwal抯 Eye Hospital and Eye Research Centre, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsCornea and Refractive, Dr. Agarwal抯 Eye Hospital and Eye Research Centre, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsCataract and Neurophthal, Dr. Agarwal抯 Eye Hospital and Eye Research Centre, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsCataract, Cornea and Anterior Segment, Dr. Agarwal抯 Eye Hospital and Eye Research Centre, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.citationKumar 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): 3242-3245en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/225249
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber9en_US
dc.relation.volume71en_US
dc.source.urihttps://doi.org/10.4103/IJO.IJO_3023_22en_US
dc.subjectFuchs� endothelial dystrophyen_US
dc.subjectirregular astigmatismen_US
dc.subjectkeratoconusen_US
dc.subjectpinhole pupilloplastyen_US
dc.subjectpre?Descemet抯 endothelial keratoplastyen_US
dc.titlePhacoemulsification, pinhole pupilloplasty, and pre-Descemet抯 endothelial keratoplasty for keratoconus with Fuchs� endothelial dystrophyen_US
dc.typeJournal Articleen_US
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