Eur Eye Res. Ahead of Print: EER-70188 | DOI: 10.14744/eer.2024.70188

Bilateral immediately sequential endothelial keratoplasty in bilateral bullous keratopathy

Tze Gee Ng¹, Omar Elhaddad^2
1Macclesfield Hospital, England, United Kingdom
²Bristol Eye Hospital, England, United Kingdom;Faculty Of Medicine, Alexandria University, Egypt

Background:
Pseudophakic bullous keratopathy is the presence of persistent corneal oedema following intraocular lens implantation or cataract surgery.

Case description:

A 75 year old lady presented to us with a right failed Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) performed elsewhere and a left eye with decompensating bullous keratopathy. A decision was made to proceed with a right DSAEK in the first instance.

A second corneal graft became available due to a late cancellation. After further deliberation, the patient agreed to have the procedure done in both eyes. She received an immediate sequential bilateral endothelial keratoplasty with a DSAEK in the right eye and a Descemet Membrane Endothelial Keratoplasty (DMEK) in the left eye.

Conclusion:
This bilateral sequential endothelial keratoplasty resulted in faster bilateral visual recovery without complication.

We postulate this as a viable option to speed bilateral visual recovery, accepting further evidence is required to support our assertion and help generate formal clinical guidance.

Keywords: Bilataral sequential endothelial keratoplasty, bullous keratopathy, Descemet Stripping Automated Endothelial Keratoplasty, Descemet Membrane Endothelial Keratoplasty

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