Name

Résultats de la tomographie par cohérence optique du segment antérieur de la greffe après la kératoplastie endothéliale membranaire de Descemet

To evaluation of graft location with anterior segment optical coherence tomography (AS-OCT) in eyes undergone descemet’s membrane endothelial keratoplasty (DMEK)

Eighteen eyes of 16 patients undergone DMEK surgery between June 2016 and September 2017 at Beyoglu Eye Training and Research Hospital were included. AS-OCT findings of the patients undergone DMEK surgery were evaluated at 1 day and 1 week postoperatively.

Four of 18 eyes had a peripheral corneal graft detachment that required a secondary surgical intervention by rebubble. In 1 patient, transplanted graft was detected as a formation of roll in the anterior chamber at 1 week after the surgery. In this case, although it was regrafted as a first intervention, re-DMEK surgery was performed due to a nonfunctional graft.

The frequency of DMEK application has been increasing steadily in recent years. This method is chosen as the first choice by many surgeons in bullous keratopathy and fuchs endothelial dystrophy.AS-OCT is a very useful method of identifying and grading corneal pathologies. This technique can be used before and after endothelial keratoplasty procedures.

AS-OCT is an effective method in assessing graft location problems and in defining characteristics of graft after DMEK surgery. Hence, postoperative graft problems can be detected and treated promptly.