P-11 DMEK in cases with aphakia & aniridia. Three-year experience with the safety net technique.

Alfonso Vasquez-Perez

BMJ open ophthalmology 2023 May

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Correspondence, Alfonso Vasquez-Perez: alest99@gmail.com OBJECTIVE: To present the results of an innovative DMEK technique for bullous keratopathy in cases with aphakia & aniridia, traditionally considered suitable only for DSAEK. Review of 11 consecutive cases affected with aphakia & aniridia who received DMEK using the safety net technique over the last three years. Patients were followed between 6 to 30 months. Graft unfolding over the prolene net was found undemanding and was successfully achieved in all cases. Visual acuity improved in 10 cases (91%). Nine cases (82%) had clear cornea and well-functioning DMEK at the end of the study. In one case the surgery was not completed due to choroidal haemorrhage and in one case the graft failed after one year following rejection and repeat PK was performed. One case required re-do DMEK due to early failure. Re-bubbling was required for 4 cases (36%) and there were no cases with posterior graft dislocation. The safety net DMEK technique is a simple, low-cost method for DMEK in eyes with aphakia & aniridia. Increased re-bubbling rate is expected in the aphakic unicameral eyes. © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Citation

Alfonso Vasquez-Perez. P-11 DMEK in cases with aphakia & aniridia. Three-year experience with the safety net technique. BMJ open ophthalmology. 2023 May;8(Suppl 1):A4