Photorefractive keratectomy after DMEK for corneal decompensation by phakic IOL

Nuno Moura-Coelho, Felicidad Manero, Renato Papa, Nicolas Amich, João Paulo Cunha, José Luis Güell

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2 Citations (Scopus)
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Purpose: To provide the first description of photorefractive keratectomy (PRK) for the correction of mild residual refractive error after Descemet membrane endothelial keratoplasty (DMEK). Methods: Case report. Results: A 45 year-old woman presenting with phakic intraocular lens (PIOL)-related corneal decompensation underwent staged DMEK surgery following PIOL explantation and cataract surgery. Eighteen months after DMEK, uncorrected distance visual acuity (UDVA) was 20/60 and best-corrected visual acuity (BCVA) was 20/22, with a stable refraction. The patient requested refractive surgery to decrease spectacle dependance, and wavefront-optimized PRK was performed. At last follow-up observation thirty-three months after PRK (54 months after DMEK surgery), UDVA was 20/20, the cornea remained clear without signs of rejection or endothelial failure, and the endothelial cell loss rate was not accelerated after PRK. Conclusion: Since long-term visual and refractive stability can be expected after DMEK, PRK may be a particular safe and effective approach for the correction of mild residual refractive errors after DMEK. However, we consider that surgeons must exercise caution when considering keratorefractive surgery in these eyes due to postoperative changes in corneal curvature and thickness, and further studies are encouraged.

Original languageEnglish
Pages (from-to)NP5 - NP8
JournalEuropean Journal Of Ophthalmology
Early online date6 Jan 2022
Publication statusPublished - May 2023


  • Descemet membrane endothelial keratoplasty
  • keratorefractive surgery
  • Photorefractive keratectomy


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