Intraocular lens opacification after Descemet's stripping automated endothelial keratoplasty
Compared with conventional penetrating keratoplasty, Descemet's stripping automated endothelial keratoplasty (DSAEK) more effectively maintain global integrity and rapid vision rehabilitation with less ocular surface disorders in patients with endothelial dysfunction. Here, we report a case of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Taiwan Journal of Ophthalmology |
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| Online Access: | http://www.e-tjo.org/article.asp?issn=2211-5056;year=2017;volume=7;issue=3;spage=160;epage=163;aulast=Lee |
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| author | Meng-Sheng Lee I-Lun Tsai Ching-Yao Tsai Li-Lin Kuo Shiow-Wen Liou Lin-Chung Woung |
| author_facet | Meng-Sheng Lee I-Lun Tsai Ching-Yao Tsai Li-Lin Kuo Shiow-Wen Liou Lin-Chung Woung |
| author_sort | Meng-Sheng Lee |
| collection | DOAJ |
| description | Compared with conventional penetrating keratoplasty, Descemet's stripping automated endothelial keratoplasty (DSAEK) more effectively maintain global integrity and rapid vision rehabilitation with less ocular surface disorders in patients with endothelial dysfunction. Here, we report a case of a 76-year-old woman who experienced opacification of a hydrophilic intraocular lens (IOL) approximately 10 months after DSAEK. The patient with no history of systemic disease developed pseudophakic bullous keratopathy in the right eye 2 years after undergoing cataract surgery. The best-corrected visual acuity (BCVA) of the right eye was Snellen 0.01 when presented to our hospital. DSAEK was arranged and performed smoothly. However, the graft detached over the upper part of the cornea on postoperative day 1. Thus, rebubbling was performed immediately. After the procedure, the graft was well attached, and the cornea became clear gradually. The BCVA returned to Snellen 0.6. However, progressive opacification over the anterior surface of the IOL was observed 10 months postoperatively. Vision deteriorated to 0.5 with various refractive errors during 2-year follow-up. IOL exchange may be considered if the vision is getting worse. IOL opacification may result from a direct contact between the IOL surface and exogenous air, particularly in a hydrophilic IOL, and can be a rare but significant complication after DSAEK. Clinicians planning to perform DSAEK should consider the composition of the IOL, the amount of intracameral air, duration of air filling, and high intraocular pressure. |
| first_indexed | 2024-12-19T20:05:18Z |
| format | Article |
| id | doaj.art-12369be6d06f4bafb225f721ed008bd4 |
| institution | Directory Open Access Journal |
| issn | 2211-5056 2211-5072 |
| language | English |
| last_indexed | 2024-12-19T20:05:18Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Taiwan Journal of Ophthalmology |
| spelling | doaj.art-12369be6d06f4bafb225f721ed008bd42022-12-21T20:07:31ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722017-01-017316016310.4103/tjo.tjo_54_17Intraocular lens opacification after Descemet's stripping automated endothelial keratoplastyMeng-Sheng LeeI-Lun TsaiChing-Yao TsaiLi-Lin KuoShiow-Wen LiouLin-Chung WoungCompared with conventional penetrating keratoplasty, Descemet's stripping automated endothelial keratoplasty (DSAEK) more effectively maintain global integrity and rapid vision rehabilitation with less ocular surface disorders in patients with endothelial dysfunction. Here, we report a case of a 76-year-old woman who experienced opacification of a hydrophilic intraocular lens (IOL) approximately 10 months after DSAEK. The patient with no history of systemic disease developed pseudophakic bullous keratopathy in the right eye 2 years after undergoing cataract surgery. The best-corrected visual acuity (BCVA) of the right eye was Snellen 0.01 when presented to our hospital. DSAEK was arranged and performed smoothly. However, the graft detached over the upper part of the cornea on postoperative day 1. Thus, rebubbling was performed immediately. After the procedure, the graft was well attached, and the cornea became clear gradually. The BCVA returned to Snellen 0.6. However, progressive opacification over the anterior surface of the IOL was observed 10 months postoperatively. Vision deteriorated to 0.5 with various refractive errors during 2-year follow-up. IOL exchange may be considered if the vision is getting worse. IOL opacification may result from a direct contact between the IOL surface and exogenous air, particularly in a hydrophilic IOL, and can be a rare but significant complication after DSAEK. Clinicians planning to perform DSAEK should consider the composition of the IOL, the amount of intracameral air, duration of air filling, and high intraocular pressure.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2017;volume=7;issue=3;spage=160;epage=163;aulast=LeeDescemet's stripping automated endothelial keratoplastyhydrophilic intraocular lensintracameral airopacification |
| spellingShingle | Meng-Sheng Lee I-Lun Tsai Ching-Yao Tsai Li-Lin Kuo Shiow-Wen Liou Lin-Chung Woung Intraocular lens opacification after Descemet's stripping automated endothelial keratoplasty Taiwan Journal of Ophthalmology Descemet's stripping automated endothelial keratoplasty hydrophilic intraocular lens intracameral air opacification |
| title | Intraocular lens opacification after Descemet's stripping automated endothelial keratoplasty |
| title_full | Intraocular lens opacification after Descemet's stripping automated endothelial keratoplasty |
| title_fullStr | Intraocular lens opacification after Descemet's stripping automated endothelial keratoplasty |
| title_full_unstemmed | Intraocular lens opacification after Descemet's stripping automated endothelial keratoplasty |
| title_short | Intraocular lens opacification after Descemet's stripping automated endothelial keratoplasty |
| title_sort | intraocular lens opacification after descemet s stripping automated endothelial keratoplasty |
| topic | Descemet's stripping automated endothelial keratoplasty hydrophilic intraocular lens intracameral air opacification |
| url | http://www.e-tjo.org/article.asp?issn=2211-5056;year=2017;volume=7;issue=3;spage=160;epage=163;aulast=Lee |
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