EEBA Program (PDF/3MB) - EEBA - Annual Meeting
EEBA Program (PDF/3MB) - EEBA - Annual Meeting EEBA Program (PDF/3MB) - EEBA - Annual Meeting
PENETRATING KERATOPLASTY OR DESCEMET STRIPPING AUTOMATED ENDOTHELIALKERATOPLASTY OVER MULTIFOCAL IOL: WHICH IS BETTER?N. Miličić, M. Pauk Gulić, N. Gabrić, I. DekarisSpecial Eye Hospital Svjetlost, Department of Ophthalmology, School of Medicine in Rijeka, University of Rijeka, CroatiaPurpose: To present two patients with implanted multifocal intraocular lenses (MFIOL) whounderwent corneal transplantation for PBK.Methods: In last 4 years we have done 2 PK and 1 DSAEK in eyes with MFIOL. In a first case 64 year oldwomen underwent penetrating keratoplasty (PK) for her left eye, and two years after DSAEK for herright eye. In a second case, 77 year old women underwent PK for her right eye. In follow up time of 2years we compared visual recovery, BCVA, postoperative astigmatism, endothelial cell loss, and graftoutcome.Results: The eye that underwent DSAEK procedure showed better postoperative BCVA, both inquantity and speed of recovery as compared to other 2 that underwent PK. DSAEK eye achieved BCVA0.9 in less than 1 month postoperatively, while other two eyes needed longer recovery time, morethan 4 months to reach BCVA of 0.6. There were significant difference in postoperative astigmatism;in DSAEK it was 1 and in PK 3.5 dcyl. Endothelial cell loss in DSAEK eye was 39% and in PKP eyes was37% in two years follow up. All grafts were clear. Patient’s satisfaction was much higher in DSAEK-eyeas compared to PK.Conclusions: DSAEK is preffered procedure when dealing with bullous keraopathy since it providesfaster visual rehabilitation as compared to PK. Low amount of induced astigmatism seems to beespecially important in PBK eyes with already implanted multifocal IOL.64
RECURRENCE OF ANTERIOR CORNEAL DYSTROPHIES AFTER KERATOPLASTYP. Sauvageot, I. Rodriguez, A. Buigues, J. Alvarez de ToledoCentro de Oftalmología Barraquer, SpainPurpose: To describe the rate of simple recurrence (SR) and/or clinically significant recurrence (CR) ofdifferent kinds of anterior dystrophies in donor corneas after keratoplasty.Methods: Retrospective case series of patients who underwent keratoplasty for anterior dystrophiesfrom 1954 to 2008 with a minimum follow-up time of three years. Kaplan Meier survival curves werecalculated for both parameters (SR and CR) to demonstrate recurrence through time.Results: A total of 109 eyes of 66 patients were included: 8 cases of Bowman´s dystrophy (6 eyes withCDRB/Reis Bucklers and 2 eyes with CDTB/Thiel Behnke), 19 cases of CDG/Granular, 53 cases of CDL/Lattice and 29 cases of CDM/Macular. The median follow-up time for each kind of dystrophy variedfrom 75 months (6.25 years) to 180 months (15 years). The survival function for simple recurrencewas significantly higher (376.2 months/31 years) for cases of CDM, as compared to those dystrophiesrelated to the keratoepithelin gene : CDRB =177.6 months, CDL=168 months and CDG =89.2 months.Clinically significant recurrence (CR) was noted predominantly in cases of CDL and CDG.Conclusions: Keratoplasty (whether penetrating or lamellar) is an effective treatment for cases ofanterior dystrophies, when visual axis is affected or when other less invasive treatment modalities fail.The statistically significant difference in survival time of recurrence after keratoplasty for the differentkinds of anterior dystrophies coincides with literature and may help us in prognosticating the besttreatment option for each individual case.XXV ANNUAL MEETING OF THE EUROPEAN EYE BANK ASSOCIATION Zagreb, Croatia 18/19 January 2013 65
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PENETRATING KERATOPLASTY OR DESCEMET STRIPPING AUTOMATED ENDOTHELIALKERATOPLASTY OVER MULTIFOCAL IOL: WHICH IS BETTER?N. Miličić, M. Pauk Gulić, N. Gabrić, I. DekarisSpecial Eye Hospital Svjetlost, Department of Ophthalmology, School of Medicine in Rijeka, University of Rijeka, CroatiaPurpose: To present two patients with implanted multifocal intraocular lenses (MFIOL) whounderwent corneal transplantation for PBK.Methods: In last 4 years we have done 2 PK and 1 DSAEK in eyes with MFIOL. In a first case 64 year oldwomen underwent penetrating keratoplasty (PK) for her left eye, and two years after DSAEK for herright eye. In a second case, 77 year old women underwent PK for her right eye. In follow up time of 2years we compared visual recovery, BCVA, postoperative astigmatism, endothelial cell loss, and graftoutcome.Results: The eye that underwent DSAEK procedure showed better postoperative BCVA, both inquantity and speed of recovery as compared to other 2 that underwent PK. DSAEK eye achieved BCVA0.9 in less than 1 month postoperatively, while other two eyes needed longer recovery time, morethan 4 months to reach BCVA of 0.6. There were significant difference in postoperative astigmatism;in DSAEK it was 1 and in PK 3.5 dcyl. Endothelial cell loss in DSAEK eye was 39% and in PKP eyes was37% in two years follow up. All grafts were clear. Patient’s satisfaction was much higher in DSAEK-eyeas compared to PK.Conclusions: DSAEK is preffered procedure when dealing with bullous keraopathy since it providesfaster visual rehabilitation as compared to PK. Low amount of induced astigmatism seems to beespecially important in PBK eyes with already implanted multifocal IOL.64
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