Dr.Sukriti Upadhyay

Dr. RAJESH GOYAL, Prof.Pankaj Sharma, Dr. JUGAL KISHORE CHOUHAN, Dr.Sukriti Upadhyay

Abstract

Aim – To analyze the clinical outcomes of DMEK in 200 cases.

Material & methods – Prospective, interventional study of cases of endothelial dysfunction operated by a single surgeon .Postoperative Best Corrected Visual Acuity(BCVA), Endothelial Cell Density & complications were analyzed till one year postoperatively .

Results – Commonest indication was Bullous Keratopathy in 128 (64%), Previous failed Graft in 36 (18%), Fuch’s in 34 (17%) & CHED in 2(1%) cases . In phakic eyes with DMEK 40 (20%) ,DMEK was combined with cataract surgery .BCVA of > 6/12 was achieved in 118(59%) cases at the end of 1 year .Mean Endothelial Cell Density ( ECD) decreased from 2674+-158 ( Before Surgery ) to 2125+-271 & 1940+-275 at 6 months & 1 year respectively . The commonest complication was DM detachment in 22 eyes (11%) eyes of which 9 eyes required rebubbling.

Conclusion : DMEK is a effective procedure in endothelial diseases with encouraging clinical outcomes & less complications .

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