Secondary sulcus IOL implantation for presbyopia correction following Descemet Membrane Endothelial Keratoplasty

Report a case where the patient desired spectacle independence after phacoemulsification and Descemet membrane endothelial keratoplasty (DMEK) due to Fuchs’ endothelial dystrophy. A 52-year-old female presented with corrected distance visual acuity (CDVA) of 20/40 in both eyes with low ametropia. Sl...

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Bibliographic Details
Published in:	American journal of ophthalmology case reports Vol. 36; p. 102182
Main Authors:	Zimmermann, Luiza Moschetta, Peixoto, Guilherme Vieira, Biluca, Júlia Margoni, Tavares de Lucena, José Maurílio, Nosé, Ricardo Menon
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-12-2024 Elsevier
Subjects:	Case Report Descemet membrane endothelial keratoplasty Fuchs' endothelial corneal dystrophy Supplementary intraocular lens Supplementary intraocular lens Descemet membrane endothelial keratoplasty Fuchs' endothelial corneal dystrophy
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Summary:	Report a case where the patient desired spectacle independence after phacoemulsification and Descemet membrane endothelial keratoplasty (DMEK) due to Fuchs’ endothelial dystrophy. A 52-year-old female presented with corrected distance visual acuity (CDVA) of 20/40 in both eyes with low ametropia. Slit lamp examination revealed corneal edema 1+/4+, guttae, and nuclear cataract 2+/4+ in both eyes. First, given the diagnostic suspicion of Fuchs’ endothelial corneal dystrophy and cataracts, phacoemulsification with monofocal toric intraocular lens (IOL) implantation combined with DMEK was performed in both eyes. Postoperatively, the patient was not satisfied with her near vision. Therefore, a supplementary trifocal sulcus IOL was implanted into the right eye. At 30 days postoperatively, the uncorrected distance visual acuity (UDVA) was 20/20 and the uncorrected near visual acuity (UCNVA) was J1, with clear cornea, centered IOL. This is the first report of supplementary trifocal IOL implantation in a pseudophakic patient with a history of DMEK. This afforded spectacle-independence at all distances with high patient satisfaction. This procedure is safe, predictable, and reversible.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	2451-9936 2451-9936
DOI:	10.1016/j.ajoc.2024.102182