Long-Term Observation of Triplex Surgery for Cataract after Phakic 6H Implantation for Super High Myopia

Table 3

Characteristics of eyes with severe endothelial cell loss before triplex surgery.

Case/eye	ECD (cells/mm^2)		⁢Interventions (months after triplex surgery)	Reason analysis			⁢ECD (cells/mm^2) after DSAEK/PKP				⁢Complications (interval after DSAEK/PKP)
	3 m after triplex surgery	Before DSAEK/PKP		pIOL-related problems	Relative history	Intraop./postop. abnormities of triplex surgery	3 m	6 m	1 y	2 y
1/R	1579	1234	DSAEK (10)	CE, PO, PAS	PSR		1082	970	835	729	Graft detachment and 1 rebubbling, partial detachment <1/8 remaining
1/L	1045	821	DSAEK (10)	CE, PO, PAS	PSR	Hard nuclear	1348	913	686	605	2 rejection episodes (6 m, 13 m)
2/R	1537	1392	PKP (6)	CE, PO, undersized pIOL, touch of the endothelium and pIOL	TED		1483	1376	1250	1128
2/L	1172	867	DSAEK (13), PKP (31)	CE, PO, undersized pIOL, touch of the endothelium and pIOL	TED	Endophthalmitis underwent PPV + injection	1035	892	N	1676 (6 m after PKP)	Early rejection, PKP after graft failure. RRD 18 m later and underwent PPV + silicone oil
3/L	996	795	PKP (8)	PO, PAS	PSR	Hyphema intraop.	1377	1245	1013	1034	2 rejection episodes (8 m, 11 m)
5/L	1385	1321	LPC for PCO (16)	Mild chronic inflammation	DM
10/L	1527	1604	None		PSR

Eyes that developed corneal decompensation after the triplex surgery.
ECD count one year after triplex surgery.
ECD was unmeasurable.
m: month(s); y: year(s); ECD: endothelial cell density; PKP: penetrating keratoplasty; DSAEK: Descemet's stripping automated endothelial keratoplasty; CE: corneal edema; PO: pupil ovalization; PAS: peripheral anterior synechia; PSR: posterior scleral reinforcement surgery; TED: thyroid eye disease; PPV: pars plana vitrectomy; RRD: rhegmatogenous retinal detachment; LPC: Nd:YAG laser posterior capsulotomy; PCO: posterior capsule opacification; DM: diabetes mellitus.