Endothelial keratoplasty in eyes with a retained angle-supported intraocular lens.

Details

Serval ID
serval:BIB_8E20145796AF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Endothelial keratoplasty in eyes with a retained angle-supported intraocular lens.
Journal
International ophthalmology
Author(s)
Droutsas K., Lazaridis A., Kymionis G., Chatzistefanou K., Papaconstantinou D., Sekundo W., Koutsandrea C.
ISSN
1573-2630 (Electronic)
ISSN-L
0165-5701
Publication state
Published
Issued date
05/2019
Peer-reviewed
Oui
Volume
39
Number
5
Pages
1027-1035
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To describe the outcomes of endothelial keratoplasty (EK) for bullous keratopathy in eyes with a retained angle-supported anterior chamber intraocular lens (acIOL).
Among 263 consecutive EK procedures, 7 DMEK and 11 DSAEK procedures were identified in eyes with an acIOL and included in the present retrospective case series. Pre- and postoperative status including ocular history, anatomical outcome and complications as well as best-corrected visual acuity was evaluated.
Ocular history included complicated cataract surgery (n = 11), ocular trauma (n = 4) and primary intracapsular cataract extraction (n = 3). Surgery-related complications included primary graft failure (n = 1), graft detachment (n = 1), endophthalmitis (n = 1) and allograft rejection (n = 1). A clear cornea at the final examination (14 ± 4 months) was observed in 14/18 (78%), while the visual outcome was limited due to significant ocular comorbidity in 9 out of 14 uncomplicated procedures.
The presented short-term outcomes suggest that both DMEK and DSAEK are feasible in eyes with an angle-supported acIOL yielding an acceptable graft survival rate in the first postoperative year.
Keywords
Adult, Aged, Aged, 80 and over, Anterior Chamber, Aphakia, Postcataract/complications, Aphakia, Postcataract/surgery, Corneal Diseases/complications, Corneal Diseases/diagnosis, Corneal Diseases/surgery, Descemet Stripping Endothelial Keratoplasty/methods, Female, Humans, Lenses, Intraocular, Male, Middle Aged, Retrospective Studies, Treatment Outcome, Visual Acuity, Anterior chamber intraocular lens, DMEK, DSAEK, Endothelial keratoplasty, Graft survival
Pubmed
Web of science
Create date
14/04/2018 10:57
Last modification date
20/08/2019 14:52
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