Manual Medium Incision Cataract Surgery with Descemet’s Stripping Endothelial Keratoplasty: A Novel Triple Procedure

Table 1

Surgical outcomes for patients who underwent combined Descemet’s stripping endothelial keratoplasty and medium incision cataract surgery.

Age/sex	Pre-op BCVA	Surgery	Donor graft (diameter; thickness, endothelial cell count/mm^2)	Recipient pre-op pachymetry (microns)	Post-op complications	Final VA	Target refraction	Final refraction	Pre-op ECD	Post-op ECD (months post-op)	Remarks
75/F	0.1	DSEK + MICS + IOL	7.5 mm; N/A, 2638	574	Partial graft dislocation	0.3		Plano	NA	NA	Vascular dementia
69/M	0.1	DSEK + MICS + IOL	8 mm; N/A, 3174		Nil	0.1		+1.75	NA	663 (24 m)	NPC with RT 1999; temporal lobe necrosis
75/F	0.1	DSEK + MICS + IOL	8 mm; N/A, 2597	NA	Nil	0.5		Plano	NA	1453 (0.5 m)
76/F	0.2	DSAEK + MICS + IOL	8 mm; 171 µm, 2544	NA	Graft rejection noted after 1 year	0.3		+2.00	NA	NA	Graft rejection
75/M	0.2	DSAEK + MICS + IOL	8 mm; 114 µm, 2570	564	Nil	0.4		+2.00	NA	524 (6 m)
81/F	0.2	DSAEK + MICS + IOL	8 mm; 118 µm, 2597	NA	Mild inferior graft displacement	0.5		+2.00	644	519 (12 m)
78/F	0.001	DSAEK + MICS + IOL	7.5 mm; 107 µm, 2666	NA	PCO	0.3		+1.00	NA	1535 (3 m)
72/M	0.1	DSEK + MICS + IOL	8 mm; N/A, 2702		PCO	0.1		+0.75	948	1925 (3 m)	NPC with RT 1999; temporal lobe necrosis

M: male.
F: female.
DSEK: Descemet’s stripping endothelial keratoplasty.
DSAEK: Descemet’s stripping automated endothelial keratoplasty.
MICS: medium incision cataract surgery.
IOL: intraocular lens.
BCVA: best-corrected visual acuity.
PCO: posterior capsular opacification.
NPC: nasopharyngeal carcinoma.
RT: radiotherapy.
SEQ: spherical equivalent.
ECD: endothelial cell density.