Delphi-Based Global Consensus on Adopting Endothelial Keratoplasty: An Endothelial Keratoplasty Learners Group Initiative.

Purpose: To identify areas of consensus among experts on the performance of endothelial keratoplasty by using a modified Delphi approach, to help create a framework for novice surgeons to adopt these procedures.

Methods: Thirty-one international experts in endothelial keratoplasty participated. Two rounds of electronic survey were followed by a hybrid, virtual meeting.

Surgical decisions in the setting of zonulopathy.

An 85-year-old man with a history of type 2 diabetes, pseudoexfoliation (PXF) in both eyes, and tamsulosin use was referred for the evaluation of a dense cataract in the right eye and a subluxated intraocular lens (IOL) in the left eye. Unfortunately, his surgery in the left eye was complicated by diffuse zonulopathy. The referring surgeon placed a 3-piece IOL in the sulcus.

Refractive outcomes of Descemet membrane endothelial keratoplasty triple procedures (combined with cataract surgery).

Purpose: To describe the refractive outcomes of triple Descemet membrane endothelial keratoplasty (DMEK).

Design: Retrospective case series.

Methods: The study included patients with Fuchs endothelial dystrophy and cataract without coincident pathology.

Repeat Descemet Membrane Endothelial Keratoplasty: Secondary Grafts with Early Intervention Are Comparable with Fellow-Eye Primary Grafts.

Purpose: To evaluate the outcomes of secondary Descemet membrane endothelial keratoplasty (DMEK) after failed primary DMEK.

Design: Retrospective, interventional case series.

Participants: Fifty-five DMEK recipients 42 to 89 years of age.

Implementation of the posterior chamber intraocular lens intrascleral haptic fixation technique (glued intraocular lens) in a United States practice: Outcomes and insights.

Purpose: To evaluate intrascleral haptic posterior chamber intraocular lens (PC IOL) fixation (glued IOL).

Setting: North American tertiary referral center, private practice.

Design: Noncomparative interventional case series.

Descemet membrane endothelial keratoplasty combined with epithelial debridement and mitomycin-C application for fuchs dystrophy with preoperative subepithelial fibrosis or anterior basement membrane dystrophy.

Purpose: The aim of this study was to evaluate the anterior corneal surface regularity and light scattering before and after Descemet membrane endothelial keratoplasty (DMEK) with epithelial debridement and application of mitomycin C in Fuchs dystrophy-affected eyes with preoperative subepithelial fibrosis or anterior basement membrane dystrophy.

Methods: In this case-control study, a chart review identified 37 eyes with Fuchs dystrophy and anterior corneal changes evident on preoperative slit lamp examination and that underwent DMEK combined with epithelial removal plus mitomycin-C application. These cases were compared with 83 contemporaneous DMEK procedures performed in eyes with Fuchs dystrophy without clinically evident anterior surface problems (controls).

A Technique to Rescue Keratoprosthesis Melts.

Purpose: To describe a technique to completely replace the donor corneal carrier of an existing type 1 Boston keratoprosthesis (KPro) that preserves the hardware intact.

Methods: Two eyes with sterile corneal melts around the KPro stem underwent a complete exchange of the donor corneal carrier. Donor corneas were prepared in the usual fashion for KPro and were then left uncovered to dehydrate.

Rapid sequential endothelial keratoplasty with and without combined cataract extraction.

Purpose: To evaluate the outcomes of bilateral Descemet membrane endothelial keratoplasty (DMEK) combined with cataract extraction as indicated within a 1- to 2-week timeframe for treatment of Fuchs endothelial corneal dystrophy.

Setting: Private practice, Indianapolis, Indiana, USA.

Design: Case series.