Safety and clinical outcomes of omitting same and next day review after DMEK performed with an inferior peripheral iridotomy

• Published in: Eye (London) 2023-11, Vol.37 (16), p.3492-3495
• Main Authors: Roberts, Harry W., Akram, Haseeb, Davidson, Max, Myerscough, James
• Format: Article
• Language: English
• Subjects: 692/308/409; 692/699/3161/3163; Audit departments; Cell Count; Clinical outcomes; Corneal transplantation; Descemet Membrane - surgery; Descemet Stripping Endothelial Keratoplasty - adverse effects; Edema; Endothelium, Corneal; Eye surgery; Fuchs' Endothelial Dystrophy - surgery; Hospitals; Humans; Intervention; Intraocular lenses; Laboratory Medicine; Medicine; Medicine & Public Health; Ophthalmology; Patients; Pharmaceutical Sciences/Technology; Retrospective Studies; Surgeons; Surgery; Surgical Oncology; Visual Acuity
• ISSN: 0950-222X; 1476-5454; 1476-5454
• DOI: 10.1038/s41433-023-02542-8

Background/objectives To determine the incidence of day one postoperative complications after Descemet Membrane Endothelial Keratoplasty (DMEK) performed with intraoperative inferior peripheral iridotomy (PI), and whether their early detection influences postoperative intervention. Subjects/methods 70 eyes of 70 consecutive patients that underwent DMEK from August 2019 to August 2021 at a single UK centre were retrospectively analysed. Cases that did not have an inferior PI were excluded. Any action taken at day one and week one postoperative review was noted. Results No pupil block or other major adverse events were found at day one review. At one week, 14 eyes (20%) required re-bubbling, all of which had been fully attached at the day one review. Conclusions: This series suggests that inferior PI performed alongside DMEK alone or triple DMEK effectively minimizes the risk of pupil block. Since no early complications occurred in this cohort requiring immediate intervention, it may be safe to defer review of these patients to a later time point.