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OPHTHALMIC IMAGES
Year : 2018  |  Volume : 66  |  Issue : 5  |  Page : 696

Unveiling opacification of intraocular lens following a successful penetrating keratoplasty for extensively scarred cornea due to microbial keratitis after Descemet's stripping automated endothelial keratoplasty


Brighton and Sussex Medical School, University of Sussex, Falmer; Sussex Eye Hospital, Brighton and Sussex University Hospitals, Brighton, United Kingdom

Date of Web Publication20-Apr-2018

Correspondence Address:
Dr. Mayank A Nanavaty
Sussex Eye Hospital, Brighton and Sussex University Hospitals, NHS Trust, Eastern Road, BN2 5BF, Brighton
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1253_17

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How to cite this article:
Nanavaty MA. Unveiling opacification of intraocular lens following a successful penetrating keratoplasty for extensively scarred cornea due to microbial keratitis after Descemet's stripping automated endothelial keratoplasty. Indian J Ophthalmol 2018;66:696

How to cite this URL:
Nanavaty MA. Unveiling opacification of intraocular lens following a successful penetrating keratoplasty for extensively scarred cornea due to microbial keratitis after Descemet's stripping automated endothelial keratoplasty. Indian J Ophthalmol [serial online] 2018 [cited 2024 Mar 28];66:696. Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?2018/66/5/696/230668



Opacification of hydrophilic intraocular lens (IOL) after endothelial keratoplasty is well known.[1],[2],[3],[4],[5] The use of hydrophobic or polymethylmethacrylate IOLs are recommended in such eyes. We present a case referred to us with extensively scared edematous cornea. She had a history of pseudophakic bullous keratopathy following her cataract surgery in an eye with narrow anterior chamber angles, for which she underwent Descemet's stripping automated endothelial keratoplasty (DSAEK) with one rebubbling procedure, and this was followed by severe microbial keratitis leading to extensive scarring and failure of DSAEK. There was no information on the type of the IOL used elsewhere in this eye [Figure 1].
Figure 1: (a) Two week following a successful penetrating keratoplasty showing clear cornea and opacified intraocular lens. (b) Magnified view of the surface opacification of the hydrophilic intraocular lens

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Werner L, Wilbanks G, Ollerton A, Michelson J. Localized calcification of hydrophilic acrylic intraocular lenses in association with intracameral injection of gas. J Cataract Refract Surg 2012;38:720-1.  Back to cited text no. 1
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2.
Patryn E, van der Meulen IJ, Lapid-Gortzak R, Mourits M, Nieuwendaal CP. Intraocular lens opacifications in descemet stripping endothelial keratoplasty patients. Cornea 2012;31:1189-92.  Back to cited text no. 2
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3.
Dhital A, Spalton DJ, Goyal S, Werner L. Calcification in hydrophilic intraocular lenses associated with injection of intraocular gas. Am J Ophthalmol 2012;153:1154-600.  Back to cited text no. 3
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4.
Neuhann IM, Neuhann TF, Rohrbach JM. Intraocular lens calcification after keratoplasty. Cornea 2013;32:e6-10.  Back to cited text no. 4
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5.
Fellman MA, Werner L, Liu ET, Stallings S, Floyd AM, van der Meulen IJ, et al. Calcification of a hydrophilic acrylic intraocular lens after descemet-stripping endothelial keratoplasty: Case report and laboratory analyses. J Cataract Refract Surg 2013;39:799-803.  Back to cited text no. 5
[PUBMED]    


    Figures

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