Temporary iris-lens diaphragm to assist descemet membrane endothelial keratoplasty in aphakic patients
Purpose: Presenting a simple technique using an inversely implanted contact lens to create a temporary diaphragm to assist DMEK surgery in aphakic, partially aniridic and vitrectomized eyes. Observations: The postoperative course was without pressure abnormalities and the anterior chamber remained d...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993622004340 |
| _version_ | 1811207037829251072 |
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| author | Peter Szurman Karl T. Boden Annekatrin Rickmann |
| author_facet | Peter Szurman Karl T. Boden Annekatrin Rickmann |
| author_sort | Peter Szurman |
| collection | DOAJ |
| description | Purpose: Presenting a simple technique using an inversely implanted contact lens to create a temporary diaphragm to assist DMEK surgery in aphakic, partially aniridic and vitrectomized eyes. Observations: The postoperative course was without pressure abnormalities and the anterior chamber remained deep. The cornea completely cleared within 3 weeks and remained clear after removal of the contact lens showing a corneal thickness of 544 μm and an intact endothelial cell pattern on endothelial cell microscopy after 3 months. Conclusion and Importance: The inversely implanted contact lens provides an easily accessible temporary diaphragm, making DMEK surgery a safer procedure even in complex eyes without an adequate posterior barrier. |
| first_indexed | 2024-04-12T03:57:01Z |
| format | Article |
| id | doaj.art-4cfba56fd6a14223a7d69255d2a743a2 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-04-12T03:57:01Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-4cfba56fd6a14223a7d69255d2a743a22022-12-22T03:48:48ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362022-12-0128101688Temporary iris-lens diaphragm to assist descemet membrane endothelial keratoplasty in aphakic patientsPeter Szurman0Karl T. Boden1Annekatrin Rickmann2Eye Clinic Sulzbach, Knappschaft Hospital Saar, Sulzbach, Germany; Klaus Heimann Eye Research Institute (KHERI), Knappschaft Hospital Saar, Sulzbach, Germany; Corresponding author. Eye Clinic Sulzbach, Knappschaft Hospital Saar, An der Klinik 10, 66280, Sulzbach, Germany.Eye Clinic Sulzbach, Knappschaft Hospital Saar, Sulzbach, Germany; Klaus Heimann Eye Research Institute (KHERI), Knappschaft Hospital Saar, Sulzbach, GermanyEye Clinic Sulzbach, Knappschaft Hospital Saar, Sulzbach, GermanyPurpose: Presenting a simple technique using an inversely implanted contact lens to create a temporary diaphragm to assist DMEK surgery in aphakic, partially aniridic and vitrectomized eyes. Observations: The postoperative course was without pressure abnormalities and the anterior chamber remained deep. The cornea completely cleared within 3 weeks and remained clear after removal of the contact lens showing a corneal thickness of 544 μm and an intact endothelial cell pattern on endothelial cell microscopy after 3 months. Conclusion and Importance: The inversely implanted contact lens provides an easily accessible temporary diaphragm, making DMEK surgery a safer procedure even in complex eyes without an adequate posterior barrier.http://www.sciencedirect.com/science/article/pii/S2451993622004340DMEKAphakiaIris-lens diaphragmContact lens |
| spellingShingle | Peter Szurman Karl T. Boden Annekatrin Rickmann Temporary iris-lens diaphragm to assist descemet membrane endothelial keratoplasty in aphakic patients American Journal of Ophthalmology Case Reports DMEK Aphakia Iris-lens diaphragm Contact lens |
| title | Temporary iris-lens diaphragm to assist descemet membrane endothelial keratoplasty in aphakic patients |
| title_full | Temporary iris-lens diaphragm to assist descemet membrane endothelial keratoplasty in aphakic patients |
| title_fullStr | Temporary iris-lens diaphragm to assist descemet membrane endothelial keratoplasty in aphakic patients |
| title_full_unstemmed | Temporary iris-lens diaphragm to assist descemet membrane endothelial keratoplasty in aphakic patients |
| title_short | Temporary iris-lens diaphragm to assist descemet membrane endothelial keratoplasty in aphakic patients |
| title_sort | temporary iris lens diaphragm to assist descemet membrane endothelial keratoplasty in aphakic patients |
| topic | DMEK Aphakia Iris-lens diaphragm Contact lens |
| url | http://www.sciencedirect.com/science/article/pii/S2451993622004340 |
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