Refractive surgery after Descemet's stripping endothelial keratoplasty

被引:2
作者
Prince, Jessica [1 ]
Chuck, Roy S. [1 ]
机构
[1] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Ophthalmol & Visual Sci, Bronx, NY 10467 USA
关键词
Descemet's stripping endothelial keratoplasty; refractive error; refractive surgery; PENETRATING KERATOPLASTY; GRAFT THICKNESS; ABERRATIONS; ANTERIOR; QUALITY; SURFACE; VISION;
D O I
10.1097/ICU.0b013e3283543b79
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose of review Descemet's stripping endothelial keratoplasty (DSEK) has become a preferred surgical correction for endothelial dysfunction. Patient dissatisfaction secondary to refractive error is emerging as a significant complaint after anatomically successful DSEK. This article reviews refractive surgeries after DSEK to address this problem. Recent findings There are various surgical options available to treat refractive compromise following DSEK. Cataract extraction with intraocular lens (IOL) implantation is a well tolerated option to restore visual acuity after DSEK in cases with significant lens opacities. Laser in-situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) can otherwise successfully correct simple refractive errors. Phototherapeutic keratectomy (PTK) may be employed in cases wherein visually significant subepithelial fibrosis and scarring become evident after DSEK. Summary To obtain maximum visual rehabilitation, patients undergoing DSEK may require further refractive surgeries. Cataract extraction, LASIK, PRK, PTK, and various combination procedures have been shown to optimize corneal clarity and visual acuity in patients who previously had successful DSEK with subsequent refractive errors. Technological advancements and continued research are necessary to perfect optimal timing and outcomes of these secondary refractive surgeries.
引用
收藏
页码:242 / 245
页数:4
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