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Year : 2011  |  Volume : 59  |  Issue : 4  |  Page : 314-317

Simultaneous bilensectomy and endothelial keratoplasty for angle-supported phakic intraocular lens-induced corneal decompensation

1 Department of Cornea and Anterior Segment Services, Sanjivni Eye Care, Model Town, Ambala, Haryana, India
2 Department of Vitreoretina Services, Sanjivni Eye Care, Model Town, Ambala, Haryana, India
3 Department of Cataract and Refractive Surgery Services, Daljit Singh Eye Hospital, Amritsar, Punjab, India

Correspondence Address:
Vikas Mittal
Cornea and Anterior Segment Services, Sanjivni Eye Care, Model Town, Ambala City, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.82004

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A 40-year-old lady presented with severe endothelial cell loss in both eyes 14 years after angle-supported phakic intraocular lens (AS PIOL) implantation. The left eye had severe corneal edema with bullous keratopathy. The right eye had markedly reduced endothelial cell count (655 cells/mm 2 ) although the cornea was clear. She underwent simultaneous bilensectomy (AS PIOL explantation and phacoemulsification) and Descemet's stripping and endothelial keratoplasty (DSEK) in the left eye. Explanted AS PIOL was identified as ZSAL-4 (Morcher, Stuttgart, Germany) model. Corneal edema cleared completely in 2 months with a best corrected visual acuity (-2.25 D sph) of 20/60. No intervention was done in the right eye. The present case illustrates that AS PIOL-induced endothelial decompensation can be effectively managed by simultaneous bilensectomy and endothelial keratoplasty.

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