Complications and outcomes of descemet stripping automated endothelial keratoplasty with artisan aphakia intraocular lens implantation
AIM: To evaluate the complications and outcomes of descemet stripping automated endothelial keratoplasty (DSAEK) combined with artisan aphakia intraocular lens (IOL) implantation in severely damaged eyes without capsular support. METHODS: DSAEK combined with artisan iris claw IOL implantation was p...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2018-04-01
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| Series: | International Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.cn/en_publish/2018/4/20180411.pdf |
| _version_ | 1818135622114607104 |
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| author | Rong-Mei Peng Yu-Xin Guo Yuan Qiu Yan-Sheng Hao Jing Hong |
| author_facet | Rong-Mei Peng Yu-Xin Guo Yuan Qiu Yan-Sheng Hao Jing Hong |
| author_sort | Rong-Mei Peng |
| collection | DOAJ |
| description | AIM: To evaluate the complications and outcomes of descemet stripping automated endothelial keratoplasty (DSAEK) combined with artisan aphakia intraocular lens (IOL) implantation in severely damaged eyes without capsular support.
METHODS: DSAEK combined with artisan iris claw IOL implantation was performed on 29 eyes. All eyes were of abnormal structure due to complications from prior intraocular surgeries and ocular trauma. Ocular complications observed included graft dislocations, high intraocular pressure (IOP), IOL dislocations, macular edema and hyphema. Best corrected visual acuity (BCVA), IOP and mean central endothelial cell density (ECD) were recorded.
RESULTS: Thirteen eyes had a history of ocular trauma, 10 eyes had an anterior chamber IOL, 16 eyes had prior vitrectomy. The iris was abnormal in 22 cases. Graft dislocation occurred in 5 (17.2%) of 29 eyes. IOL dislocation occurred in 2 eyes (6.9%). High IOP was found in 9 eyes and was controlled with treatment. The preoperative mean BCVA was 20/286. The 6mo postoperative mean BCVA was 20/42. The average center ECD was 1965.3 cells/mm2 at 6mo, and the rate of the donor cell loss was 34.7%.
CONCLUSION: DSAEK combined with artisan aphakia IOL implantation is an alternative option for resolving endothelial and lens disorders in aphakic eyes without capsular support. However, it should be performed cautiously for eyes with severe iris defects. |
| first_indexed | 2024-12-11T09:27:26Z |
| format | Article |
| id | doaj.art-5d72a644b41b4a2a9ab4b0e409f7347d |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-12-11T09:27:26Z |
| publishDate | 2018-04-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-5d72a644b41b4a2a9ab4b0e409f7347d2022-12-22T01:13:06ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982018-04-0111460761110.18240/ijo.2018.04.11Complications and outcomes of descemet stripping automated endothelial keratoplasty with artisan aphakia intraocular lens implantationRong-Mei Peng0Yu-Xin Guo1Yuan Qiu2Yan-Sheng Hao3Jing Hong4Department of Ophthalmology, Peking University Third Hospital, Beijing 100191, ChinaDepartment of Ophthalmology, Peking University Third Hospital, Beijing 100191, ChinaDepartment of Ophthalmology, Peking University Third Hospital, Beijing 100191, ChinaDepartment of Ophthalmology, Peking University Third Hospital, Beijing 100191, ChinaDepartment of Ophthalmology, Peking University Third Hospital, Beijing 100191, ChinaAIM: To evaluate the complications and outcomes of descemet stripping automated endothelial keratoplasty (DSAEK) combined with artisan aphakia intraocular lens (IOL) implantation in severely damaged eyes without capsular support. METHODS: DSAEK combined with artisan iris claw IOL implantation was performed on 29 eyes. All eyes were of abnormal structure due to complications from prior intraocular surgeries and ocular trauma. Ocular complications observed included graft dislocations, high intraocular pressure (IOP), IOL dislocations, macular edema and hyphema. Best corrected visual acuity (BCVA), IOP and mean central endothelial cell density (ECD) were recorded. RESULTS: Thirteen eyes had a history of ocular trauma, 10 eyes had an anterior chamber IOL, 16 eyes had prior vitrectomy. The iris was abnormal in 22 cases. Graft dislocation occurred in 5 (17.2%) of 29 eyes. IOL dislocation occurred in 2 eyes (6.9%). High IOP was found in 9 eyes and was controlled with treatment. The preoperative mean BCVA was 20/286. The 6mo postoperative mean BCVA was 20/42. The average center ECD was 1965.3 cells/mm2 at 6mo, and the rate of the donor cell loss was 34.7%. CONCLUSION: DSAEK combined with artisan aphakia IOL implantation is an alternative option for resolving endothelial and lens disorders in aphakic eyes without capsular support. However, it should be performed cautiously for eyes with severe iris defects.http://www.ijo.cn/en_publish/2018/4/20180411.pdf611descemet stripping automated endothelial keratoplastyartisan aphakia iris claw lensiris defect |
| spellingShingle | Rong-Mei Peng Yu-Xin Guo Yuan Qiu Yan-Sheng Hao Jing Hong Complications and outcomes of descemet stripping automated endothelial keratoplasty with artisan aphakia intraocular lens implantation International Journal of Ophthalmology 611 descemet stripping automated endothelial keratoplasty artisan aphakia iris claw lens iris defect |
| title | Complications and outcomes of descemet stripping automated endothelial keratoplasty with artisan aphakia intraocular lens implantation |
| title_full | Complications and outcomes of descemet stripping automated endothelial keratoplasty with artisan aphakia intraocular lens implantation |
| title_fullStr | Complications and outcomes of descemet stripping automated endothelial keratoplasty with artisan aphakia intraocular lens implantation |
| title_full_unstemmed | Complications and outcomes of descemet stripping automated endothelial keratoplasty with artisan aphakia intraocular lens implantation |
| title_short | Complications and outcomes of descemet stripping automated endothelial keratoplasty with artisan aphakia intraocular lens implantation |
| title_sort | complications and outcomes of descemet stripping automated endothelial keratoplasty with artisan aphakia intraocular lens implantation |
| topic | 611 descemet stripping automated endothelial keratoplasty artisan aphakia iris claw lens iris defect |
| url | http://www.ijo.cn/en_publish/2018/4/20180411.pdf |
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