ARTISAN TORIC IOL IN AN I TRAOCULAR LENS EXCHANGE

This is a patient who suffered an intraocular lens rotation after a capsulotomy. The axis turn 90 degrees , so we had to remove the toric IOL an insert another one. Because of the capsulotomy we pr…

Origen: ARTISAN TORIC IOL IN AN I TRAOCULAR LENS EXCHANGE

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ARTISAN TORIC IOL IN AN INTRAOCULAR LENS EXCHANGE

This is a patient who suffered an intraocular lens rotation after a capsulotomy. The axis turn 90 degrees , so we had to remove the toric IOL an insert another one. Because of the capsulotomy we practice an anterior vitrectomy usin triamcinolone to identify any vitreous in the anterior chamber.

Artisan customized toric IOL is implanted following a specific surgical plan, as described in the video

Transfixing suture in DSAEK

We present a case of a patient with Fuchs’ corneal posterior dystrophy associated to a map-dot-fingerprint anterior dystrophy and a previously failed DMEK , which was treated with DSAEK . After 1 week , the graft began to peel off in an area that had previously suffered a traumatic abrasion of the predescemetic Dua´s layer . We decided to perform a transfixing suture asociated to rebubbleing to ensure the proper adhesion of the graft , since the latter was the third surgery in this patient . Tips and videos that can be seen explicitly showing the technique and the postoperative OCT. Presentamos un caso de una paciente con distrofia corneal posterior de Fuchs asociada a una distrofia anterior tipo mapa-punto-huella, y una DMEK fallida previa, en la que realizamos una DSAEK. Después de 1 semana, el injerto empezó a despegarse en una zona en la que previamente se había producido una abrasión traumática de la capa predescemética de Dua. Decidimos realizar un rebubbleing reforzado con puntos transfixiantes para asegurar la correcta adhesión del injerto, dado que ésta última era la tercera intervención quirúrgica a la que sometíamos a la paciente. Se muestran trucos y vídeos en los que se observa de forma explicita la técnica, así como el OCT postoperatorio.