Descemet stripping endothelial keratoplasty for a failed penetrating keratoplasty graft in a pseudophakic patient with a toric intraocular lens: a case report.

Details

Serval ID
serval:BIB_2025549C80CD
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Descemet stripping endothelial keratoplasty for a failed penetrating keratoplasty graft in a pseudophakic patient with a toric intraocular lens: a case report.
Journal
BMC ophthalmology
Author(s)
Kymionis G.D., Kontadakis G.A.
ISSN
1471-2415 (Electronic)
ISSN-L
1471-2415
Publication state
Published
Issued date
30/10/2013
Peer-reviewed
Oui
Volume
13
Pages
64
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: epublish
Abstract
To report a patient with penetrating keratoplasty (PKP) graft endothelial failure implanted with toric intraocular lens (IOL) who was treated with Descemet stripping endothelial keratoplasty (DSAEK).
A 40 year old male patient implanted with toric intraocular lens for the treatment of post PKP astigmatism, presented for the treatment of graft endothelial failure'. The patient had uncorrected distance visual acuity (UDVA) 20/200 not correcting with manifest refraction. The patient reported excellent visual acuity after cataract surgery and toric IOL implantation. DSAEK was performed in order to minimally affect keratometry and retain correspondence of the anterior cornea astigmatism with the toric IOL astigmatic power. Three months postoperatively the cornea was clear with no edema. UDVA was 20/40 and corrected distance visual acuity was 20/25 with +1.50-1.00 × 20.
This report describes a unique case of DSAEK for treatment of a failed PKP in a patient previously implanted with a toric IOL. DSAEK was an effective alternative of PKP in this patient for the preservation of the toric IOL's effect.
Keywords
Adult, Astigmatism/etiology, Astigmatism/surgery, Descemet Stripping Endothelial Keratoplasty, Humans, Keratoplasty, Penetrating, Lens Implantation, Intraocular, Lenses, Intraocular, Male, Pseudophakia/complications, Pseudophakia/surgery, Reoperation, Treatment Failure
Pubmed
Web of science
Open Access
Yes
Create date
01/10/2019 13:55
Last modification date
06/10/2019 6:26
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