Logo do repositório
 
Publicação

Photorefractive keratectomy after DMEK for corneal decompensation by phakic IOL

2023-05Artigo científico Acesso aberto
Ver registo simples
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.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblWichtig Publishing Srl
dc.date.accessioned2023-03-30T22:14:53Z
dc.date.available2023-03-30T22:14:53Z
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: Case report. Results: A 45 year-old woman presenting with 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 a stable refraction. The patient requested refractive surgery to decrease spectacle dependance, and wavefront-optimized PRK was performed. At 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 particular 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.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1275128
dc.identifier.doi10.1177/11206721211073429
dc.identifier.issn1120-6721
dc.identifier.otherPURE: 36216117
dc.identifier.otherPURE UUID: 1a4fcee9-3bb4-4804-bfb9-9a8d5ea14d7b
dc.identifier.otherScopus: 85122399768
dc.identifier.otherWOS: 000740960500001
dc.identifier.urihttp://hdl.handle.net/10362/151434
dc.identifier.urlhttps://www.scopus.com/pages/publications/85122399768
dc.language.isoeng
dc.peerreviewedyes
dc.subjectDescemet membrane endothelial keratoplasty
dc.subjectkeratorefractive surgery
dc.subjectPhotorefractive keratectomy
dc.subjectOphthalmology
dc.titlePhotorefractive keratectomy after DMEK for corneal decompensation by phakic IOLen
dc.typejournal article
degois.publication.firstPageNP5
degois.publication.lastPageNP8
degois.publication.titleEuropean Journal Of Ophthalmology
dspace.entity.typePublication
rcaap.rightsopenAccess

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura
Nome:
11206721211073429.pdf
Tamanho:
1.22 MB
Formato:
Adobe Portable Document Format
Ver/Abrir

Coleções

NMS - Artigos em revista internacional com arbitragem científica