combined phaco + DMEK (cataract surgery with corneal endothelial transplant surgery) скачать в хорошем качестве

combined phaco + DMEK (cataract surgery with corneal endothelial transplant surgery)

This patient has a cataract as well as Fuch's corneal dystrophy. Her pre-operative corneal pachymetry is almost 700 microns centrally and she has corneal edema. She has also had a prior trabeculectomy for glaucoma, which is now controlled without progression. She needs cataract surgery as well as corneal endothelial transplantation. She is undergoing combined cataract surgery with a Descemet's membrane endothelial keratoplasty. I am using techniques which I have learned from my former resident, P. James Sanchez MD, who is now a corneal specialist at the Devers Eye Institute in Portland, Oregon, USA. Pre-operatively, we have decided to obtain a pre-cut and pre-loaded transplant tissue. We have also increased our planned IOL power by at least 0.5 diopters (1.0 diopters is also a good measure) to account for the refractive shift expected from the DMEK transplant. We also perform a smaller capsulorhexis in order to keep the IOL in the capsular bag when we have an air bubble present to hold the DMEK graft in place.