Descemet Membrane Endothelial Keratoplasty in an eye with 33mm axial length.

ABSTRACT:

Purpose

To describe the preoperative planning, intraoperative surgical techniques, and postoperative outcomes of Descemet Membrane Endothelial Keratoplasty (DMEK) in an eye with extreme axial myopia.

Methods

A 71-year-old female patient with severe 4+ nuclear sclerotic cataract and Fuchs dystrophy in the right eye presented with best corrected visual acuity of counting fingers. Central corneal thickness (CCT) was 605 microns, and optical biometry-based axial length was 33mm. The DMEK graft was preloaded as a 7.5mm diameter scroll in a micro Jones tube, injected into the anterior chamber (AC), and opened without complication.

Results

Intraoperatively, the AC deepened and shallowed extensively, consistent with zonular laxity. Despite a large volume of SF₆, ex

SUBMITTER: Agrawal A 

PROVIDER: S-EPMC12574313 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature