Carlevale intraocular lens opacification after Descemet stripping automated endothelial keratoplasty.
Eur J Ophthalmol
; 33(5): NP60-NP62, 2023 Sep.
Article
em En
| MEDLINE
| ID: mdl-36163691
ABSTRACT
PURPOSE:
To report a case of sutureless scleral-fixated (SSF) Carlevale intraocular lens (IOL) opacification following Descemet stripping automated endothelial keratoplasty (DSAEK) surgery.METHODS:
An 82-year-old man underwent combined SSF Carlevale IOL implant and DSAEK surgery for aphakic endothelial decompensation. Surgery was uneventful, while the postoperative period was complicated by multiple graft detachments requiring re-bubbling. After four re-bubbling procedures, the corneal graft attached and cleared over time.RESULTS:
29 months after combined SSF IOL implant and DSAEK surgery, the patient presented with decreased vision due to IOL opacification affecting the visual axis.CONCLUSION:
Although combined SSF IOL and DSAEK surgery is an overall safe and effective procedure for aphakic endothelial decompensation, risk of IOL opacification due to anterior chamber air injection is higher when using hydrophilic IOLs and in cases requiring multiple re-bubbling, therefore, intraocular lens material should be chosen after considering the risks and benefits.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Facoemulsificação
/
Ceratoplastia Endotelial com Remoção da Lâmina Limitante Posterior
/
Lentes Intraoculares
Limite:
Aged80
/
Humans
/
Male
Idioma:
En
Revista:
Eur J Ophthalmol
Assunto da revista:
OFTALMOLOGIA
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Reino Unido