Two-Step Iridocorneal Endothelial Syndrome Management: Endocapsular Intraocular Lens and Artificial Iris Followed by Descemet’s Stripping Automated Endothelial Keratoplasty
A 54-year-old female presented with complaints of glare and progressive visual loss OS with a corrected distance visual acuity (CDVA) OS of 20/100. The patient had grade 1 corneal edema with a “beaten bronze” appearance on specularly reflected light, pseudopolycoria, and a nuclear sclerotic cataract...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2023-10-01
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| Series: | Case Reports in Ophthalmology |
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| Online Access: | https://beta.karger.com/Article/FullText/534277 |
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| author | João Pinheiro-Costa Inês Coelho-Costa Fernando Falcão-Reis Tiago Monteiro Manuel Falcão |
| author_facet | João Pinheiro-Costa Inês Coelho-Costa Fernando Falcão-Reis Tiago Monteiro Manuel Falcão |
| author_sort | João Pinheiro-Costa |
| collection | DOAJ |
| description | A 54-year-old female presented with complaints of glare and progressive visual loss OS with a corrected distance visual acuity (CDVA) OS of 20/100. The patient had grade 1 corneal edema with a “beaten bronze” appearance on specularly reflected light, pseudopolycoria, and a nuclear sclerotic cataract. The diagnosis of nuclear cataract and progressive iris atrophy iridocorneal endothelial (ICE) syndrome was made, and the patient underwent uneventful phacoemulsification with capsular bag placement of an AcrySof SA60AT intraocular lens combined with pseudopolycoria repair using an endocapsular Model A REPER artificial iris. Six months later, the patient was submitted to a Descemet’s stripping automated endothelial keratoplasty (DSAEK) procedure, and 6 months after that the CDVA was 20/32 with no corneal edema and normal intraocular pressure. This two-step surgical approach, combining phacoemulsification and endocapsular foldable iris prosthesis placement followed by DSAEK, may be considered a promising option to successfully treat progressive iris atrophy ICE syndrome patients. |
| first_indexed | 2024-03-10T04:26:26Z |
| format | Article |
| id | doaj.art-09c7497b93b9490a8594a059efbd2c51 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-03-10T04:26:26Z |
| publishDate | 2023-10-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-09c7497b93b9490a8594a059efbd2c512023-11-23T07:16:29ZengKarger PublishersCase Reports in Ophthalmology1663-26992023-10-0114158359010.1159/000534277534277Two-Step Iridocorneal Endothelial Syndrome Management: Endocapsular Intraocular Lens and Artificial Iris Followed by Descemet’s Stripping Automated Endothelial KeratoplastyJoão Pinheiro-Costa0Inês Coelho-Costa1Fernando Falcão-Reis2Tiago Monteiro3Manuel Falcão4Ophthalmology Department, Centro Hospitalar Universitário São João, Porto, PortugalOphthalmology Department, Centro Hospitalar Universitário São João, Porto, PortugalOphthalmology Department, Centro Hospitalar Universitário São João, Porto, PortugalOphthalmology Department, Hospital CUF Porto, Porto, PortugalOphthalmology Department, Centro Hospitalar Universitário São João, Porto, PortugalA 54-year-old female presented with complaints of glare and progressive visual loss OS with a corrected distance visual acuity (CDVA) OS of 20/100. The patient had grade 1 corneal edema with a “beaten bronze” appearance on specularly reflected light, pseudopolycoria, and a nuclear sclerotic cataract. The diagnosis of nuclear cataract and progressive iris atrophy iridocorneal endothelial (ICE) syndrome was made, and the patient underwent uneventful phacoemulsification with capsular bag placement of an AcrySof SA60AT intraocular lens combined with pseudopolycoria repair using an endocapsular Model A REPER artificial iris. Six months later, the patient was submitted to a Descemet’s stripping automated endothelial keratoplasty (DSAEK) procedure, and 6 months after that the CDVA was 20/32 with no corneal edema and normal intraocular pressure. This two-step surgical approach, combining phacoemulsification and endocapsular foldable iris prosthesis placement followed by DSAEK, may be considered a promising option to successfully treat progressive iris atrophy ICE syndrome patients.https://beta.karger.com/Article/FullText/534277iridocorneal endothelial syndromedescemet stripping endothelial keratoplastycorneal edemaartificial iriscase report |
| spellingShingle | João Pinheiro-Costa Inês Coelho-Costa Fernando Falcão-Reis Tiago Monteiro Manuel Falcão Two-Step Iridocorneal Endothelial Syndrome Management: Endocapsular Intraocular Lens and Artificial Iris Followed by Descemet’s Stripping Automated Endothelial Keratoplasty Case Reports in Ophthalmology iridocorneal endothelial syndrome descemet stripping endothelial keratoplasty corneal edema artificial iris case report |
| title | Two-Step Iridocorneal Endothelial Syndrome Management: Endocapsular Intraocular Lens and Artificial Iris Followed by Descemet’s Stripping Automated Endothelial Keratoplasty |
| title_full | Two-Step Iridocorneal Endothelial Syndrome Management: Endocapsular Intraocular Lens and Artificial Iris Followed by Descemet’s Stripping Automated Endothelial Keratoplasty |
| title_fullStr | Two-Step Iridocorneal Endothelial Syndrome Management: Endocapsular Intraocular Lens and Artificial Iris Followed by Descemet’s Stripping Automated Endothelial Keratoplasty |
| title_full_unstemmed | Two-Step Iridocorneal Endothelial Syndrome Management: Endocapsular Intraocular Lens and Artificial Iris Followed by Descemet’s Stripping Automated Endothelial Keratoplasty |
| title_short | Two-Step Iridocorneal Endothelial Syndrome Management: Endocapsular Intraocular Lens and Artificial Iris Followed by Descemet’s Stripping Automated Endothelial Keratoplasty |
| title_sort | two step iridocorneal endothelial syndrome management endocapsular intraocular lens and artificial iris followed by descemet s stripping automated endothelial keratoplasty |
| topic | iridocorneal endothelial syndrome descemet stripping endothelial keratoplasty corneal edema artificial iris case report |
| url | https://beta.karger.com/Article/FullText/534277 |
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