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Vol. 95. Issue 9.
Pages 451-454 (September 2020)
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Vol. 95. Issue 9.
Pages 451-454 (September 2020)
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Combined cataract surgery and lamellar endothelial keratoplasty in iridocorneal endothelial syndrome
Cirugía combinada de catarata y queratoplastia lamelar endotelial en el síndrome iridocórneo endotelial
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S. García Caride
Corresponding author
Sara.garcia.caride@gmail.com

Corresponding author.
, R. Cuiña Sardiña, L. Perucho González
Departamento de Oftalmología, Hospital Clínico San Carlos, Madrid, Spain
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Abstract

The case is reported of a 59-year-old woman, who reported decreased visual acuity (VA) in the left eye (LE). On examination, a corrected VA of finger count/30cm was observed in LE. Corneal edema and folds in the Descemet's membrane were observed using the slit lamp. Anterior synechiae, iris atrophy, and corectopia were also found. Iridocorneal endothelial syndrome (ICE) was diagnosed. The treatment option was a combination of cataract surgery and automated endothelial keratoplasty with Descemet's membrane dissection (DSAEK). There were no complications during the operation, with a successful anatomical and functional recovery, with a VA of 0.8 being observed after one year. This result supports the efficacy of DSAEK in ICE syndrome, encouraging more studies to be carried out that should also support its efficacy in this syndrome.

Keywords:
Iridocorneal endothelial syndrome
ICE
DSAEK
Treatment
Resumen

Reportamos el caso de una mujer de 59años, que refería disminución de agudeza visual (AV) en el ojo izquierdo (OI). Mediante la exploración, se objetivó en dicho ojo una AV corregida de cuenta dedos a 30cm, y en la lámpara de hendidura se observó la presencia de edema corneal moderado, con pliegues en la membrana de Descemet. También se apreciaron sinequias iridianas anteriores, atrofia de iris y corectopia. Se diagnosticó de síndrome iridocórneo endotelial (ICE). Se decidió un abordaje terapéutico quirúrgico mediante una cirugía combinada de catarata y queratoplastia endotelial automatizada con disección de la membrana de Descemet (DSAEK).

No se reportaron complicaciones intraoperatorias. La recuperación anatómica y funcional fue exitosa, presentando una AV corregida al año de 0,8. Este resultado apoya la eficacia de la DSAEK en el síndrome ICE animando a la realización de más estudios que soporten igualmente su eficacia en este síndrome.

Palabras clave:
Síndrome iridocórneo endotelial
ICE
DSAEK
Tratamiento

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