Simultaneous phacoemulsification and DSEK in patients with concomitant cataract and bullous keratopathy due to Fuchs endothelial dystrophy.

摘要

We would like to comment on the study by Oshima et al. of the safety and efficacy of chandelier retroillu-mination-assisted torsional oscillation for cataract surgery in patients with severe corneal opacity due to bullous keratopathy in the context of Fuchs endothe-lial dystrophy. First, the cause of corneal haziness in patients with bullous keratopathy is usually the edem-atous epithelium, which is caused by poor endothelial cell function. Removing the epithelium before phacoe-mulsification usually leads to fairly clear media that allows the surgeon to proceed with surgery and perform Descemet-stripping endothelial keratoplasty (DSEK) after implantation of a posterior chamber intraocular lens (IOL).