Hydrophilic acrylic intraocular lens opacification after descemet stripping automated endothelial keratoplasty

Autor: Amir Norouzpour, Siamak Zarei-Ghanavati
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Journal of Ophthalmic & Vision Research, Vol 11, Iss 2, Pp 225-227 (2016)
Druh dokumentu: article
ISSN: 2008-322X
DOI: 10.4103/2008-322X.158897
Popis: Purpose: To report hydrophilic acylic intraocular lens (IOL) opacification after Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) in an eye with multiple prior intraocular surgeries and iatrogenic aniridia. Case Report: A 34-year-old woman with history of penetrating keratoplasty (PKP) for advanced keratoconus and subsequent Urrets-Zavalia Syndrome (UZS) underwent phacoemulsification and hydrophilic acrylic IOL implantation for her cataract. In order to control post-PKP glaucoma, multiple glaucoma surgeries including two glaucoma drainage implants were performed. As the original corneal graft failed, the patient subsequently underwent re-PKP. Four years later, she underwent DSAEK for treatment of the second graft failure. Ten months after DSAEK, a double semi-circular pattern of IOL opacification was observed on the anterior surface of the IOL. The patient did not report any complaints and we decided not to exchange the IOL. Conclusion: In an eye with UZS and iatrogenic aniridia, IOL opacification may result from direct contact between the IOL surface and exogenous air. Aniridia can be a risk factor for development of IOL opacification after DSAEK. Further studies are required to confirm this hypothesis.
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