Gregory Moloney1, U-Teng Chan2, Alex Hamilton3, Aida Mohd Zahidin4, John R Grigg3, Raj N Devasahayam5. 1. Discipline of Ophthalmology, Sydney Medical School, The University of Sydney; Sydney Eye Hospital, Sydney, Australia. Electronic address: gregorymoloney@yahoo.com.au. 2. Sydney Eye Hospital, Sydney, Australia. 3. Discipline of Ophthalmology, Sydney Medical School, The University of Sydney; Sydney Eye Hospital, Sydney, Australia. 4. Ophthalmology Department, Universiti Kebangsaan Malaysia. 5. Sydney Eye Hospital, Sydney, Australia; Lions NSW Eye Bank, Organ & Tissue Donation Service, New South Wales, Australia.
Abstract
OBJECTIVE: To describe 2 cases of spontaneous corneal clearing after Descemetorhexis: 1 after iatrogenic trauma (Case 1) and 1 as an intentional surgical intervention for Fuchs endothelial dystrophy (Case 2). METHODS: Retrospective case reports. RESULTS: Full corneal clarity was observed to restore at approximately 1 month after surgery in both cases. Central endothelial cell counts were recorded as 753 and 731 cells/mm(2) in cases 1 and 2, respectively, at last follow-up. Best spectacle corrected visual acuity (BSCVA) at was 6/6 in both cases at 6 weeks and is retained at 9 months. CONCLUSIONS: Selective Descemetorhexis may offer visual rehabilitation without the need for a graft in select cases of Fuchs endothelial dystrophy. Descemetopexy in anticipation of corneal clearing is a viable initial strategy in cases of iatrogenic Descemet trauma with detachment.
OBJECTIVE: To describe 2 cases of spontaneous corneal clearing after Descemetorhexis: 1 after iatrogenic trauma (Case 1) and 1 as an intentional surgical intervention for Fuchs endothelial dystrophy (Case 2). METHODS: Retrospective case reports. RESULTS: Full corneal clarity was observed to restore at approximately 1 month after surgery in both cases. Central endothelial cell counts were recorded as 753 and 731 cells/mm(2) in cases 1 and 2, respectively, at last follow-up. Best spectacle corrected visual acuity (BSCVA) at was 6/6 in both cases at 6 weeks and is retained at 9 months. CONCLUSIONS: Selective Descemetorhexis may offer visual rehabilitation without the need for a graft in select cases of Fuchs endothelial dystrophy. Descemetopexy in anticipation of corneal clearing is a viable initial strategy in cases of iatrogenic Descemet trauma with detachment.