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First results of femtolaser-assisted DSAEK in patients with corneal EED

This is our first experience in posterior lamellar keratoplasty with femtolaser. In the Republic of Uzbekistan it was the first time when femtolaser used for keratoplasty. Purpose. Evaluation of the first results of femtolaser-assisted DSAEK in patients with corneal EED. Material and Methods: Six patients (6 eyes) aged 52 to 71 years (mean age 60.5 ± 1.05 years), including 1 male (17 %) and 5 female (83 %). All patients underwent femtolaser-assisted endothelial keratoplasty. Four patients underwent surgery for secondary corneal endothelial-epithelial dystrophy, 2 patients underwent surgery for Fuchs endothelial dystrophy. Results. Microinvasive automated descemetoplasty is an effective, safe method of treatment which allows to minimize traumatization of corneal endothelium and to achieve high functional results. Conclusions. This technique allows to form an very thin flap of uniform thickness, makes it possible to perform posterior stratified keratoplasty with maximum functional and structural safety for the corneal endothelium. All this reduces the loss of corneal endothelial cell density. Keywords: endothelial-epithelial corneal dystrophy, posterior lamellar keratoplasty, femtolaser-assisted treatment.