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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Excimer laser assisted Descemet stripping endothelial keratoplasty in iridocorne...
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Vol. 88. Issue 8.
Pages 316-319 (August 2013)
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Vol. 88. Issue 8.
Pages 316-319 (August 2013)
Short communication
Excimer laser assisted Descemet stripping endothelial keratoplasty in iridocorneal endothelial syndrome
Queratoplastia endotelial con pelado de la Descemet asistida con láser de excímero en el síndrome iridocorneoendotelial
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A. Capote, T. Cárdenas??
Corresponding author
taimicar@infomed.sld.cu

Corresponding author.
, D. Cruz, I. Hernández
Instituto Cubano de Oftalmología Ramón Pando Ferrer, La Habana, Cuba
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Abstract
Case report

A 42-year-old female diagnosed with essential iris atrophy complained of visual decrease in the right eye. Examination revealed moderate corneal edema, folds in Descemet's membrane, polycoria, corectopia, and iris atrophy.

Excimer laser assisted Descemet stripping endothelial keratoplasty was performed, with a good corneal transparency and a significant visual improvement being obtained.

Discussion

The results one year after the surgery, with visual acuity of 0.4, clear lens, pachymetry of 580μm and cylinder of 0.5D, with low endothelial cell loss, suggest that further studies are required to evaluate the efficacy of this technique in patients with iridocorneal endothelial syndrome.

Keywords:
Iridocorneal endothelial syndrome
Essential iris atrophy
Endothelial keratoplasty
Excimer laser
Resumen
Caso clínico

Paciente femenina de 42 años con atrofia esencial de iris con disminución de la visión del ojo derecho, edema corneal moderado con pliegues en la membrana de Descemet, policoria, corectopia y atrofia iridiana. Se realizó queratoplastia endotelial con pelado de la Descemet asistida con láser de excímero obteniendo buena transparencia corneal y recuperación visual.

Discusión

Los resultados al año, con agudeza visual de 0.4, conservación de la transparencia del cristalino, paquimetría de 588μm y cilindro de 0.5 D, con baja pérdida endotelial alientan la realización de un estudio que valore la eficacia de la técnica en el síndrome iridocorneoendotelial.

Palabras clave:
Síndrome iridocorneoendotelial
Atrofia esencial del iris
Queratoplastia endotelial
Láser de excímero

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