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Photorefractive keratectomy after DMEK for corneal decompensation by phakic IOL

2023-05Journal article Open access
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dc.contributor.authorMoura-Coelho, Nuno
dc.contributor.authorManero, Felicidad
dc.contributor.authorPapa, Renato
dc.contributor.authorAmich, Nicolas
dc.contributor.authorCunha, João Paulo
dc.contributor.authorGüell, José Luis
dc.date.accessioned2022-01-26T12:56:45Z
dc.date.available2022-01-26T12:56:45Z
dc.date.issued2023-05
dc.description.abstractPurpose: To provide the first description of photorefractive keratectomy (PRK) for the correction of mild residual refractive error after Descemet membrane endothelial keratoplasty (DMEK). Methods: A case report. Results: A 45-year-old woman presenting with a phakic intraocular lens (PIOL)-related corneal decompensation underwent staged DMEK surgery following PIOL explantation and cataract surgery. Eighteen months after DMEK, uncorrected distance visual acuity (UDVA) was 20/60 and best-corrected visual acuity (BCVA) was 20/22, with stable refraction. The patient requested refractive surgery to decrease spectacle dependence, and wavefront-optimized PRK was performed. At the last follow-up observation thirty-three months after PRK (54 months after DMEK surgery), UDVA was 20/20, the cornea remained clear without signs of rejection or endothelial failure, and the endothelial cell loss rate was not accelerated after PRK. Conclusion: Since long-term visual and refractive stability can be expected after DMEK, PRK may be a particularly safe and effective approach for the correction of mild residual refractive errors after DMEK. However, we consider that surgeons must exercise caution when considering keratorefractive surgery in these eyes due to postoperative changes in corneal curvature and thickness, and further studies are encouraged.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMoura-Coelho N, Manero F, Papa R, Amich N, Cunha JP, Güell JL. Photorefractive keratectomy after DMEK for corneal decompensation by phakic IOL. Eur J Ophthalmol. 2023;33(3):NP5-8.pt_PT
dc.identifier.doi10.1177/11206721211073429pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/14207
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSagept_PT
dc.relation.publisherversionhttps://journals.sagepub.com/doi/full/10.1177/11206721211073429pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/pt_PT
dc.subjectOphthalmologypt_PT
dc.subjectDescemet membrane endothelial keratoplastypt_PT
dc.subjectPhotorefractive keratectomypt_PT
dc.subjectKeratorefractive surgerypt_PT
dc.titlePhotorefractive keratectomy after DMEK for corneal decompensation by phakic IOLpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPageNP8pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPageNP5pt_PT
oaire.citation.titleEuropean Journal of Ophthalmologypt_PT
oaire.citation.volume33pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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