25doc082
10.3205/25doc082
urn:nbn:de:0183-25doc0821
Meeting Abstract
Immediate sequential corneal allogeneic intrastromal ring segment transplantation and cataract surgery
Son
Son
Hyeck-Soo
HS
Universitäts-Augenklinik Heidelberg, Heidelberg
author
Augustin
Augustin
Victor
V
Universitäts-Augenklinik Heidelberg, Heidelberg
author
Kilic
Kilic
Aylin
A
Swiss Vision Clinic, Türkei, Türkei
author
Khoramnia
Khoramnia
Ramin
R
Universitäts-Augenklinik Dresden, Dresden
author
Friedrich
Friedrich
Maximilian
M
Universitäts-Augenklinik Heidelberg, Heidelberg
author
Auffarth
Auffarth
Gerd U.
GU
Universitäts-Augenklinik Heidelberg, Heidelberg
author
German Medical Science GMS Publishing House
Düsseldorf
610
20250513
engl
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).
M0613
082
37. Internationaler Kongress der Deutschen Ophthalmochirurgie (DOC)
Hornhaut
Nürnberg
20250515
20250517
FP 8.2
TextZielsetzung: To report the combined approach of corneal allogeneic intrastromal ring segment (CAIRS) transplantation and cataract surgery in a cataract patient with corneal ectasia. Methode: A 75-year-old male presented with age-related corticonuclear cataract, high myopia, and corneal ectasia on his right eye. After detailed discussion of treatment options, the patient wished to undergo a combined approach of CAIRS procedure and cataract surgery on his right eye. A femtosecond-laser (Wavelight FS200, Alcon, USA) was used to create a corneal pocket at mid-stromal depth and incision at 190°. Then, cataract surgery was performed with a 2.5-mm corneal incision, manual capsulorhexis, and phacoemulsification. A 3-piece intraocular lens (IOL) with a dioptric power of 0 diopter (D) (target refraction: -3.0 D) was implanted into the capsular bag. After cataract surgery, an 8-mm CAIRS tissue with 160° arc and 500 µm thickness was inserted (KeraNatural, VisionGift, USA) into the stromal pocket. Ergebnis: Follow-up examination at 3-months postoperatively demonstrated improved uncorrected (UDVA) and corrected distance visual acuity (CDVA), topographic parameters, as well as high satisfaction rate. Schlussfolgerung: Our finding shows that an immediate sequential CAIRS transplantation and cataract surgery may be a viable option in managing cataract patients with corneal ectasia.
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