Descemet membrane endothelial keratoplasty for corneal decompensation due to iridoschisis
Purpose: To report a case of bilateral iridoschisis with cataracts and corneal decompensation in a patient who underwent cataract extraction and superficial iridectomy followed by Descemet membrane endothelial keratoplasty (DMEK). Observations: A 58-year-old man with previously diagnosed iridoschisi...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-03-01
|
| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993617300622 |
| _version_ | 1818496821118369792 |
|---|---|
| author | Miles F. Greenwald Philip I. Niles A. Tim Johnson Jesse M. Vislisel Mark A. Greiner |
| author_facet | Miles F. Greenwald Philip I. Niles A. Tim Johnson Jesse M. Vislisel Mark A. Greiner |
| author_sort | Miles F. Greenwald |
| collection | DOAJ |
| description | Purpose: To report a case of bilateral iridoschisis with cataracts and corneal decompensation in a patient who underwent cataract extraction and superficial iridectomy followed by Descemet membrane endothelial keratoplasty (DMEK).
Observations: A 58-year-old man with previously diagnosed iridoschisis, cataracts, and diabetes mellitus experienced progressive vision loss bilaterally due to corneal decompensation. Slit lamp examination revealed iridoschisis with iris fibrils contacting the corneal endothelium, stromal edema, and mild guttate changes bilaterally. Corneal findings were more severe in the right eye, including the presence of bullous keratopathy at the time of presentation. Cataract extraction with intraocular lens implantation and superficial iridectomy were performed in the right eye, followed by DMEK. These same procedures were performed subsequently in the left eye. Postoperatively, the patient had significant improvement in visual acuity and corneal edema.
Conclusions and importance: DMEK can be performed safely and successfully after staged cataract surgery with superficial iridectomy in eyes with endothelial decompensation caused by iridoschisis. |
| first_indexed | 2024-12-10T18:37:46Z |
| format | Article |
| id | doaj.art-d0aa600df54e4dbca73a4a1fb0ce0924 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-10T18:37:46Z |
| publishDate | 2018-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-d0aa600df54e4dbca73a4a1fb0ce09242022-12-22T01:37:45ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362018-03-019C343710.1016/j.ajoc.2018.01.010Descemet membrane endothelial keratoplasty for corneal decompensation due to iridoschisisMiles F. Greenwald0Philip I. Niles1A. Tim Johnson2Jesse M. Vislisel3Mark A. Greiner4Department of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, Iowa City, IA 52242, United StatesDepartment of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, Iowa City, IA 52242, United StatesDepartment of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, Iowa City, IA 52242, United StatesDepartment of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, Iowa City, IA 52242, United StatesDepartment of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, Iowa City, IA 52242, United StatesPurpose: To report a case of bilateral iridoschisis with cataracts and corneal decompensation in a patient who underwent cataract extraction and superficial iridectomy followed by Descemet membrane endothelial keratoplasty (DMEK). Observations: A 58-year-old man with previously diagnosed iridoschisis, cataracts, and diabetes mellitus experienced progressive vision loss bilaterally due to corneal decompensation. Slit lamp examination revealed iridoschisis with iris fibrils contacting the corneal endothelium, stromal edema, and mild guttate changes bilaterally. Corneal findings were more severe in the right eye, including the presence of bullous keratopathy at the time of presentation. Cataract extraction with intraocular lens implantation and superficial iridectomy were performed in the right eye, followed by DMEK. These same procedures were performed subsequently in the left eye. Postoperatively, the patient had significant improvement in visual acuity and corneal edema. Conclusions and importance: DMEK can be performed safely and successfully after staged cataract surgery with superficial iridectomy in eyes with endothelial decompensation caused by iridoschisis.http://www.sciencedirect.com/science/article/pii/S2451993617300622Descemet membrane endothelial keratoplastyIridoschisisCorneal edemaDiabetes mellitus |
| spellingShingle | Miles F. Greenwald Philip I. Niles A. Tim Johnson Jesse M. Vislisel Mark A. Greiner Descemet membrane endothelial keratoplasty for corneal decompensation due to iridoschisis American Journal of Ophthalmology Case Reports Descemet membrane endothelial keratoplasty Iridoschisis Corneal edema Diabetes mellitus |
| title | Descemet membrane endothelial keratoplasty for corneal decompensation due to iridoschisis |
| title_full | Descemet membrane endothelial keratoplasty for corneal decompensation due to iridoschisis |
| title_fullStr | Descemet membrane endothelial keratoplasty for corneal decompensation due to iridoschisis |
| title_full_unstemmed | Descemet membrane endothelial keratoplasty for corneal decompensation due to iridoschisis |
| title_short | Descemet membrane endothelial keratoplasty for corneal decompensation due to iridoschisis |
| title_sort | descemet membrane endothelial keratoplasty for corneal decompensation due to iridoschisis |
| topic | Descemet membrane endothelial keratoplasty Iridoschisis Corneal edema Diabetes mellitus |
| url | http://www.sciencedirect.com/science/article/pii/S2451993617300622 |
| work_keys_str_mv | AT milesfgreenwald descemetmembraneendothelialkeratoplastyforcornealdecompensationduetoiridoschisis AT philipiniles descemetmembraneendothelialkeratoplastyforcornealdecompensationduetoiridoschisis AT atimjohnson descemetmembraneendothelialkeratoplastyforcornealdecompensationduetoiridoschisis AT jessemvislisel descemetmembraneendothelialkeratoplastyforcornealdecompensationduetoiridoschisis AT markagreiner descemetmembraneendothelialkeratoplastyforcornealdecompensationduetoiridoschisis |