Standardized DMEK was performed as previously reported.10 (link),11 (link) After surgery, 0.4 mg of betamethasone (Rinderon; Shionogi, Osaka, Japan) was injected subconjunctivally and 1.5% levofloxacin eye drops (Cravit; Santen) were instilled. Two hours after completing surgery, slit-lamp examination was conducted and intraocular pressure was checked. All patients were instructed to remain supine for several days until the air in the anterior chamber (AC) had disappeared. Postoperative medications included 1.5% levofloxacin (Cravit; Santen) and betamethasone (Sanbetason; Santen) 4 times daily for 3 months and tapered thereafter. Topical tropicamide was not included in the postoperative regimen.
When CME was diagnosed postoperatively, topical bromfenac (Bronuck; Senju Pharmaceutical Co) and a sub-Tenon injection of triamcinolone acetonide (MaQaid; Wakamoto Pharmaceutical Co, Tokyo, Japan) were immediately applied and administered, respectively. After cataract surgery, postoperative medications included topical bromfenac as well as 1.5% levofloxacin and betamethasone.