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Opacification of hydrophilic intraocular lenses after Descemet stripping automated endothelial keratoplasty.

Morgan-Warren, Peter J and Andreatta, Walter and Patel, Amit K (2015) Opacification of hydrophilic intraocular lenses after Descemet stripping automated endothelial keratoplasty. Clinical ophthalmology (Auckland, N.Z.), 9. pp. 277-83. ISSN 1177-5467.

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Abstract

PURPOSE

Opacification of hydrophilic acrylic intraocular lenses (IOLs) is an emerging complication following Descemet stripping automated endothelial keratoplasty (DSAEK). We report six cases and review the current literature.

METHODS

In this retrospective, noncomparative, observational case series, patients with IOL opacification after previous DSAEK surgery were identified from corneal clinic records. Case notes were reviewed for demographic details, indication for DSAEK, IOL model, incidence of rebubbling, and postoperative course.

RESULTS

Six patients developed IOL opacification after DSAEK. All patients had Fuchs' endothelial dystrophy and had previously received hydrophilic acrylic IOL models. Central anterior IOL opacification was noted in all six cases. Five cases (83%) had required rebubbling due to dislocated graft tissue, and one had an early postoperative intraocular pressure (IOP) rise. Five cases (83%) were managed conservatively, and one case with a failed graft underwent redo DSAEK and IOL exchange.

CONCLUSION

Repeated exposure to intracameral air, raised IOP, and other patient influences may be major etiological factors for IOL opacification after DSAEK. We advise avoiding hydrophilic acrylic IOL models in patients who may require future endothelial keratoplasty.

Item Type: Article
Subjects: WW Eyes. Ophthalmology
Divisions: Ambulatory Care > Ophthalmology
Related URLs:
Depositing User: Miss Adele Stanton
Date Deposited: 31 May 2015 06:47
Last Modified: 31 May 2015 06:47
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/910

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