Combined DSAEK and intraocular lens flipping with retropupillary fixation in a patient with anterior chamber iris-claw intraocular lens and corneal edema.

Details

Serval ID
serval:BIB_4EA5A0745144
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
Combined DSAEK and intraocular lens flipping with retropupillary fixation in a patient with anterior chamber iris-claw intraocular lens and corneal edema.
Journal
Journal of cataract and refractive surgery
Author(s)
Kymionis G.D., Voulgari N., Hashemi K., Grentzelos M.A., Mikropoulos D.
ISSN
1873-4502 (Electronic)
ISSN-L
0886-3350
Publication state
Published
Issued date
09/2019
Peer-reviewed
Oui
Volume
45
Number
9
Pages
1346-1348
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
An 84-year-old monocular woman was referred to our institution for the management of corneal decompensation in her only eye, the right eye. The patient had secondary implantation of an anterior chamber iris-claw intraocular lens (IOL) for IOL dislocation in the setting of pseudoexfoliation syndrome 2 years before presentation. Descemet-stripping automated endothelial keratoplasty (DSAEK) combined with retropupillary repositioning of the iris-claw IOL using a flipping technique was performed for the treatment of corneal edema. No intraoperative or postoperative complications occurred. Six months postoperatively, the corneal graft was attached and clear and the retropupillary iris-claw IOL was well positioned. The uncorrected distance visual acuity and corrected distance visual acuity improved from counting fingers preoperatively to 20/200 and 20/63, respectively, after surgery. Combined DSAEK and retropupillary refixation of a prepupillary iris-claw IOL using the flipping technique was a safe technique in this patient with corneal decompensation.
Keywords
Aged, 80 and over, Corneal Edema/surgery, Descemet Stripping Endothelial Keratoplasty, Female, Humans, Iris/surgery, Lens Implantation, Intraocular/methods, Lenses, Intraocular, Pseudophakia/physiopathology, Pupil/physiology, Slit Lamp Microscopy, Visual Acuity/physiology
Pubmed
Web of science
Create date
17/09/2019 21:01
Last modification date
07/07/2020 5:20
Usage data