Phacoemulsification with intraocular pinhole implantation associated with Descemet membrane endothelial keratoplasty to treat failed full-thickness graft with dense cataract

• Published in: Journal of cataract and refractive surgery Vol. 44; no. 10; pp. 1280 - 1283
• Main Authors: Trindade, Bruno Lovaglio Cançado, Trindade, Fernando Cançado, Trindade, Claudio Lovaglio Cançado, Santhiago, Marcony R.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-10-2018
• ISSN: 0886-3350; 1873-4502
• DOI: 10.1016/j.jcrs.2018.06.047

We present a case in which a different approach was used to treat an eye with dense cataract associated with an irregular failed full-thickness corneal graft. After cataract surgery, a foldable intraocular pinhole was implanted in the capsular bag to treat the irregular corneal astigmatism. Next, a Descemet membrane endothelial keratoplasty graft was used to improve transparency in the failed penetrating keratoplasty. This approach addressed the cataract, irregular cornea, and failed graft through a standard 2.2 mm clear corneal phacoemulsification incision, thus avoiding open-sky surgical time and expediting visual rehabilitation.