Toric IOL in Combined DMEK and Cataract Surgery

Abstract

Introduction

Descemet membrane endothelial keratoplasty (DMEK) is the current gold standard surgical procedure to treat Fuchs endothelial keratoplasty. Cataract removal and intraocular lens (IOL) implantation can be safely combined with this corneal procedure. This paper presents a case series in which a toric intraocular lens (IOL) was used in combined DMEK and cataract surgery to correct corneal astigmatism.

Methods

Four eyes that had a toric IOL implanted in combined cataract and DMEK surgery were included.

Results

There was a reduction in manifest refractive cylinder and improvement in uncorrected and best-corrected vision in all cases.

Discussion

Surgeons may consider the use of toric IOLs in selected cases of combined DMEK and cataract surgery for Fuchs endothelial dystrophy.

Keywords:

• Descemet membrane endothelial keratoplasty
• DMEK
• Fuchs endothelial dystrophy
• toric intraocular lens
• astigmatism
• triple procedure

Disclosure

The authors report no conflicts of interest in this work.