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KMID : 0360220080490010040
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Journal of the Korean Ophthalmological Society
2008 Volume.49 No. 1 p.40 ~ p.47
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Early Result of Femtosecond Laser Assisted Descemet`s Membrane Stripping Endothelial Keratoplasty
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Seo Won-Moon
Kim Hong-Kyun
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Abstract
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Purpose : To report the first cases of Descemet’s stripping endothelial keratoplasty in patients with
pseudophakic bullous keratopathy.
Methods : Four eyes of 4 patients who had corneal edema from pseudophakic bullous keratopathy were
enrolled. We performed femtosecond laser-assisted Descemet’s membrane stripping endothelial keratoplasty
(DSEK). We then evaluated preoperative and postoperative best corrected visual acuities (BCVA), manifest
refractions, keratometries, topographic astigmatisms, corneal pachymetries, and perioperative complications.
Results : The mean follow-up period was 6 months. Three of the four eyes had successful transplantations.
Since the operation, these patients have shown improvement in visual acuity and have recovered from corneal
edema. However, in one patient, the transplanted corneal disc was dislocated, and he needed an additional
procedure for reattachment.
Conclusion : The lack of corneal incisions or sutures in DSEK was helpful for maintaining corneal curvature
and globe integrity after surgery. The surgery resulted in rapid visual rehabilitation and prevented
suture-induced complications. With a femtosecond laser, we could prepare donor cornea in an automated and
standardized fashion. In conclusion, femtosecond laser-assisted DSEK has significant advantages over standard
penetrating keratoplasty for patients with pseudophakic bullous keratopathy.
J Korean Ophthalmol Soc 49(1):40-47, 2008
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KEYWORD
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Descemet`s membrane stripping endothelial keratoplasty, Femtosecond Laser
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