C Cursiefen1, B Bachmann. 1. Zentrum für Augenheilkunde, Klinik und Poliklinik für Allgemeine Augenheilkunde, Universität zu Köln, Deutschland. claus.cursiefen@uk-koeln.de
Abstract
PURPOSE: The aim was to demonstrate the feasibility of targeted removal of a central visually disturbing roll in Descemet's membrane after complicated cataract surgery. CASE REPORT: a 76-year-old patient complained of halos and reduced visual acuity after external cataract surgery. At slit-lamp examination a central roll in Descemet's membrane was found (2 × 2 mm). RESULTS: A targeted central descemetectomy was performed by circular descemetorhexis around the defect. Early postoperative visual acuity improved and halos disappeared. At 2 months postoperatively best corrected visual acuity (BCVA) was 1.0 and the endothelial cell count was not significantly changed. CONCLUSIONS: Central targeted descemetorhexis is a safe therapeutic option for visually disturbing defects of Descemet's membrane.
PURPOSE: The aim was to demonstrate the feasibility of targeted removal of a central visually disturbing roll in Descemet's membrane after complicated cataract surgery. CASE REPORT: a 76-year-old patient complained of halos and reduced visual acuity after external cataract surgery. At slit-lamp examination a central roll in Descemet's membrane was found (2 × 2 mm). RESULTS: A targeted central descemetectomy was performed by circular descemetorhexis around the defect. Early postoperative visual acuity improved and halos disappeared. At 2 months postoperatively best corrected visual acuity (BCVA) was 1.0 and the endothelial cell count was not significantly changed. CONCLUSIONS: Central targeted descemetorhexis is a safe therapeutic option for visually disturbing defects of Descemet's membrane.
Authors: Ludwig M Heindl; Stephan Riss; Bjoern O Bachmann; Kathrin Laaser; Friedrich E Kruse; Claus Cursiefen Journal: Ophthalmology Date: 2010-08-17 Impact factor: 12.079
Authors: Friedrich E Kruse; Kathrin Laaser; Claus Cursiefen; Ludwig M Heindl; Ursula Schlötzer-Schrehardt; Stephan Riss; Björn O Bachmann Journal: Cornea Date: 2011-05 Impact factor: 2.651
Authors: Ludwig M Heindl; Carmen Hofmann-Rummelt; Ursula Schlötzer-Schrehardt; Friedrich E Kruse; Claus Cursiefen Journal: Arch Ophthalmol Date: 2008-04