THE FIRST EXPERIENCE OF EXTRACTION OF CATARACT AFTER TRANSPLANTATION OF DESCEMET’S MEMBRANE

The article deals with the presentation of short-term results (6 months) of the first case of extraction of cataract and implantation of intraocular lens in patient with Descemet’s membrane transplant. The examination included visiometry, biomicroscopy, refractometry, endothelial microscopy, estimation of central thickness of cornea, optical coherent tomography, analysis on Scheimpflug-analyzer of front segment of eye and photo recording. The patient 53 years old, 6 months after repeated transplantation of Descemet’s membrane was applied phacoaspiration and implantation of intraocular lens because of development of steroid cataract and deterioration of vision. During the post-operational period, visual acuity increased up to 0.8. The impairment of cornea transparence and transplant conformity were not detected. The significant alterations in density of endothelium cells and central thickness of cornea as compared with pre-operation indicators were not established. For the first time implemented the extraction of cataract with implantation of intraocular lens applied to the eye with Descemet’s membrane transplant demonstrated the possibility of its secure implementation both for position of Descemet’s membrane and density of endothelium cells and for cornea transparence on the whole.