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OPHTHALMIC IMAGES |
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Year : 2018 | Volume
: 66
| Issue : 5 | Page : 696 |
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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
Mayank A Nanavaty
Brighton and Sussex Medical School, University of Sussex, Falmer; Sussex Eye Hospital, Brighton and Sussex University Hospitals, Brighton, United Kingdom
Date of Web Publication | 20-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
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/ijo.IJO_1253_17
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 | | |
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. [ PUBMED] |
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. [ PUBMED] |
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. [ PUBMED] |
4. | Neuhann IM, Neuhann TF, Rohrbach JM. Intraocular lens calcification after keratoplasty. Cornea 2013;32:e6-10. [ PUBMED] |
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. [ PUBMED] |
[Figure 1]
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