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Suggest Treatment For Blurred Vision After Cataract Surgery
Question: Chief complaints
This is 86 years old male member who presented with blurred left vision followed by left cataract surgery with post-operative intraocular injection for 18 months ago.
On Examination
Unaided distance vision: Right Eye 0.63 LogMar; Left Eye 1.50 Log Mar
Current glasses: Right Eye DS (0.70 LogMar); Left Eye DS (ni LogMar)
Right Eye: Pseudophakic
Left Eye: Pseudophakic bullous keratopathy. Slight peaked pupil with iris suture
Intraocular Pressure: Right Eye 9; left Eye 7 mmHg Pentacam
Past Medical/Surgical History
He has a history of left eye cataract surgery
Diagnosis
Bullous keratopathy
kindly advise which of the following procedures is much advised for the above case and why
Descemet’s Stripping Automated Endothelial Keratoplasty or,
Corneal Transplantation
This is 86 years old male member who presented with blurred left vision followed by left cataract surgery with post-operative intraocular injection for 18 months ago.
On Examination
Unaided distance vision: Right Eye 0.63 LogMar; Left Eye 1.50 Log Mar
Current glasses: Right Eye DS (0.70 LogMar); Left Eye DS (ni LogMar)
Right Eye: Pseudophakic
Left Eye: Pseudophakic bullous keratopathy. Slight peaked pupil with iris suture
Intraocular Pressure: Right Eye 9; left Eye 7 mmHg Pentacam
Past Medical/Surgical History
He has a history of left eye cataract surgery
Diagnosis
Bullous keratopathy
kindly advise which of the following procedures is much advised for the above case and why
Descemet’s Stripping Automated Endothelial Keratoplasty or,
Corneal Transplantation
Brief Answer:
I would advice Descemet’s Stripping Automated Endothelial Keratoplasty.
Detailed Answer:
Hello Sir
Welcome to Health care Magic
I am Dr. Dadapeer K, an ophthalmologist and I will be answering your question.
I reviewed your history.
The treatment for Bullous keratopathy is by transplantation of the cornea to replace the damaged cornea by a healthy donor cornea.
Descemet's strippling endothelial keratoplasty is one of the recent types of surgery. It is a sub type of corneal transplantation in which only the innermost layer of the cornea called as endothelium is tranplanted.
It has got many advantages over traditional corneal transplantation like decreased rate of rejection, minimal astigmatism following surgery....
This can be done only in early cases of bullous keratopathy in which only corneal endothelium is damaged.
By seeing the vision in the affected eye, I think it is in the early sages and can be treated by Descemet’s Stripping Automated Endothelial Keratoplasty.
Hence I would like to advice you to go for Descemet’s Stripping Automated Endothelial Keratoplasty.
Hope this answers your question and the information is helpful to you.
Thank you
With regards
I would advice Descemet’s Stripping Automated Endothelial Keratoplasty.
Detailed Answer:
Hello Sir
Welcome to Health care Magic
I am Dr. Dadapeer K, an ophthalmologist and I will be answering your question.
I reviewed your history.
The treatment for Bullous keratopathy is by transplantation of the cornea to replace the damaged cornea by a healthy donor cornea.
Descemet's strippling endothelial keratoplasty is one of the recent types of surgery. It is a sub type of corneal transplantation in which only the innermost layer of the cornea called as endothelium is tranplanted.
It has got many advantages over traditional corneal transplantation like decreased rate of rejection, minimal astigmatism following surgery....
This can be done only in early cases of bullous keratopathy in which only corneal endothelium is damaged.
By seeing the vision in the affected eye, I think it is in the early sages and can be treated by Descemet’s Stripping Automated Endothelial Keratoplasty.
Hence I would like to advice you to go for Descemet’s Stripping Automated Endothelial Keratoplasty.
Hope this answers your question and the information is helpful to you.
Thank you
With regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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