Dr. Divya Kochhar

Dr. JAYA KAUSHIK, Dr.Poninder Kumar Dogra, Dr. ANKITA SINGH

Abstract

Purpose: To elucidate the visual outcome in a patient of Iridocorneal Endothelial Syndrome after DMEK. Method: Case report of a 40 year old female presenting with painful progressive diminution of vision in right eye who was diagnosed with ICE syndrome after comprehensive ocular examination using slit lamp biomicroscopy, tonometry, pachymetry & specular microscopy. She underwent DMEK along with peripheral iridotomy. Post op follow up was done on day 1&3, weeks 1,4&12, then at 6&12 months. Result: Visual acuity improved from 6/60 to 6/9 with graft clarity of 3+ at 6 months follow up. Conclusion: ICE syndrome is a unique ophthalmic disorder that involves irregular corneal endothelium resulting in varying degrees of corneal edema, iris atrophy and secondary angle-closure glaucoma. DMEK can successfully treat corneal edema, associated visual loss and pain caused by ICE syndrome. Visual recovery is rapid with minimal refractive changes in comparison to conventional forms of keratoplasty.