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Descemet stripping automated endothelial keratoplasty (DSAEK) has become a preferred treatment for patients with endothelial diseases, since it has many advantages over penetrating keratoplasty (PK). Severe stromal oedema and recurrent bullous keratopathy from endothelial dysfunction can cause subepithelial fibrosis (SEF)1 which can reduce optical performance after DSAEK. Phototherapeutic keratectomy (PTK) may be considered as an adjunctive procedure in these patients.
Here, we report our first two consecutive cases of DSAEK followed by PTK with mitomycin C (MMC) for the treatment of endothelial diseases with SEF.
The right …
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.