Title: Phaco DSAEK
Author: Russell Swan, MD; Mark Mifflin, MD
Keywords/Main Subjects: Cornea transplant; DSAEK; Endothelial transplant; cataract; Phacoemulsification; Fuchs
Diagnosis: Cataract, Fuchs
Description: This patient is a 78 year old man who presented to the ophthalmology clinic with complaints of progressive vision loss, fluctuating vision throughout the day and difficulty with glare. His best corrected visual acuity was 20/60 in both eyes. He had normal pupils, IOP, EOM, and confrontational visual fields. His slitl lamp exam was notable for bilateral 4+ confluent gutata and mild stromal edema. He was pseudophakic in his right eye and phakic with 2+ nuclear sclerotic changes in his left eye. After discussion of the risks benefits and alternatives to surgery the patient elected to proceed with combined cataract surgery with DSAEK of the left eye. Given geographic limitations to his follow-up including long distance traveled and significant elevation changes the decision was made to proceed with DSAEK instead of DMEK for this patient
This video demonstrates a standard surgical technique for combined cataract surgery with DSAEK.
Faculty Approval by: Mark Mifflin, MD
Russell Swan, MD, ©2015. For further information regarding the rights to this collection, please visit: http://morancore.utah.edu/terms-of-use/