Ophthalmology Case Study: Corneal Transplantation

In this case, a Descemet rhexis was created. The clear red reflex on the Proveo 8 with EnFocus intraoperative OCT allowed clear visualization of Descemet’s membrane peeling and endothelium. 

When performing DSEK in eyes that have had a penetrating keratoplasty or other pathologies such as posterior membrane dystrophies, it is valuable to see DM as opposed to stromal tears or folds. 

In TM-DSEK, it is possible to leave some of the DM present whereas in DMEK, DM is stripped beyond the border of the graft. 

When performing the strip, the intraoperative OCT provided live confirmation of where DM was present. This is particularly helpful when there is a poor view e.g. in this case of ocular trauma. The OCT showed the separation of Descemet’s membrane very clearly.

Learn more about this case and discover two other corneal transplantation cases: Big-bubble Deep Anterior Lamellar Keratoplasty (DALK) and Descemet Membrane Endothelial Keratoplasty (DMEK).

Please note that off-label uses of products may be discussed. Please check with regulatory affairs for cleared indications for use in your region. The statements of the healthcare professionals included in this clinical case reflect only their opinion and personal experience and not those of Leica Microsystems. They also do not necessarily reflect the opinion of any institution with whom they are affiliated.