Back to the overview

Post-DSAEK Complications and Cataract Surgery in Fuchs’ Dystrophy

This concerns a patient with bilateral Fuchs’ dystrophy whose history includes DSAEK surgery in the right eye with subsequent ocular hypertension due to misdirection syndrome, requiring pars plana Vitrectomy and Goniosynechialysis in the same procedure. The patient presented significant photophobia and cataract, with intraocular pressure of 18 mmHg (figure 1).

CASIA2 images inform us about corneal transparency and good adaptation of the endothelial graft, but also allows us to visualise the integrity of the lens after inferior iridectomy and gives us a 360° visualisation of the iridocorneal angle (figure 2).

In this case, a narrow angle with no presence of previous synechiae in all four quadrants is observed (figure 3). Given this situation, cataract surgery will be ­proposed with pupillary sphincter reconstruction using iris cerclage, with no ­associated glaucoma surgery as part of the procedure at this time.

Figure 1
Figure 1
Figure 2
Figure 2
Figure 3
Figure 3

Further Questions?

Do you have any questions or require further information?
We would be pleased if you send us an inquiry.

Contact Form ›