الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
DMEK is the procedure of choice for corneal endothelial disorders. FECD is the most common corneal endothelial disease that can lead to failure of the endothelial function. For patients who have cataract and FECD; DMEK can be done either before, at the same time, or after cataract surgery.
This study was carried out to evaluate the visual, refractive results and complications of Descemet membrane endothelial keratoplasty combined with Phacoemulsification for Fuchs’ endothelial corneal dystrophy cases with coexisting cataract.
Thirty-seven eyes of FECD patients with co-existing cataract who present with symptoms of visual impairment significant enough to affect their quality of life and daily activities.
All patients were subjected to the following:
Thorough history taking, LogMAR uncorrected visual acuity, best corrected visual acuity, contrast sensitivity, manifest refraction, slit lamp and fundus examination, intraocular pressure measurement, specular microscopy to document endothelial cell count, corneal tomography, OCT of the macula. Then simultaneous Phacoemulsification, IOL implantation and DMEK were performed.
The same parameters as the preoperative evaluation were assessed at 1,3 and 6 months postoperatively
The results showed improvement of UCVA from 0.62 ± 0.28 (mean ± SD) preoperatively to 0.28 ± 0.28 at the final follow up visit and the BCVA from 0.38 ± 0.19 preoperatively to 0.03 ± 0.13 at the last follow up visit.
Improvement in Contrast sensitivity from 3.94 ± 3.75 (mean ± SD) preoperatively to 27.81 ± 14.70 at the last follow up visit.
87.5% of the study eyes achieved postoperative refraction within ±1.5 D of target, 68.8% were within ±1 D.
The changes in corneal curvature weren’t statistically significant except for changes in the flat K1 which changed from preoperative mean± SD of 41.76 ± 2.02 to 41.38 ± 2.18 and 41.39 ± 2.22 at 3 and 6 months postoperatively respectively.