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Surgeon advocates removing all lenses before DSEK

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BUENOS AIRES — A leading Descemet's stripping endothelial keratoplasty surgeon who previously avoided removing noncataractous lenses now advocates lens extraction in all cases before performing the keratoplasty procedure.

"I may recommend taking out all lenses," said Francis F. Price Jr., MD, in a presentation here at the Argentinean Society of Ophthalmology Congress.

Dr. Price presented data on 66 eyes with 3 years of follow-up after undergoing Descemet's stripping endothelial keratoplasty. At 3 years, 35% of cases showed signs of cataract and 21% underwent phacoemulsification and IOL implantation.

He said that if there is any shallowing of the anterior chamber or there are signs of cataract, the lens should be removed. However, he is not currently removing clear lenses, he noted.