OCULUS Pentacam, Руководство по толкованию

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6.2 Case 2: Fuchs’ dystrophy with DMEK cataract surgery –
progress evaluation
A 63-year-old female patient with bilateral cataract and Fuchs’ dystrophy underwent combined
cataract and DMEK surgery. This section reports on her progress, documenting the condition of
her right eye prior to surgery with the Fast Screening Report
(Figure 19) and the Corneal Optical
Densitometry display (Figure 21) . The symptoms of Fuchs’ dystrophy are clearly to be seen in these
displays. After the surgery it was possible to follow her course of healing, marked by gradual
deturgescence of the corneal stroma. From follow-up measurements performed one month after
the surgery
(Figure 22) it was verified that the corneal graft lay flat against the host stroma, and
transplant deturgenscence was functionally assessed on the basis of the Compare 4 Exams display
(Figure 18) . At one week postoperative central apical corneal thickness measured 670 μm. In the
course of the following 8 days it increased to 704 μm and after another 9 days had dropped back
to 630 μm. At one month postoperative it had reached a relatively normal value of 582 μm. Since
the graft was obviously functioning well, there was no need to force further deturgenscence with
hyperosmolar eye drops. At 4 weeks postoperative her right eye showed refraction values of sph
+0.50 cyl -1.00 A 108° and a visual acuity of 20/25. Her combined cataract and DMEK surgery has
turned out well, as is also confirmed by the Fast Screening Report
(Figure 20) . She currently comes
regularly every 2 weeks for follow-up.
Figure 18: Compare 4 Exams for postoperative monitoring of corneal deturgescence
over the course of one month
6 The Fast Screening Report