Management of corneal endothelial decompensation caused by iris-fixated phakic intraocular lenses with descemet stripping automated endothelial keratoplasty

Shameema Sikder, Virag Patel, Huck A. Holz, Mark D. Mifflin, Scott Davis, Majid Moshirfar

Research output: Contribution to journalReview article

Abstract

Purpose: To describe 2 cases of corneal decompensation after iris-fixated phakic intraocular lens (pIOL) implantation requiring Descemet stripping automated endothelial keratoplasty (DSAEK). MATERIALS AND Methods: Case reports and literature review. Results: Two cases of corneal decompensation after pIOL implantation are reported. The average age at presentation was 52 years (range: 37 to 67 years) in 2 women. The mean presentation time of corneal decompensation after pIOL implantation was 29 months (range: 22 to 36 months). Both the affected eyes required pIOL explantation and DSAEK to treat corneal decompensation. One patient (1 eye) had concurrent cataract surgery to maximize visual rehabilitation. The mean follow-up after DSAEK surgery was 14 months (range: 12 to 16 months). The best-corrected visual acuity was 20/50 (range: 20/40 to 20/60) at the last follow-up. Conclusions: Despite a good safety profile for iris-fixated pIOLs, some patients may still develop corneal decompensation after implantation. We report a pair of cases with corneal decompensation severe enough to warrant endothelial transplantation and pIOL explantation, with and without concomitant cataract surgery.

Original languageEnglish (US)
Pages (from-to)1045-1047
Number of pages3
JournalCornea
Volume30
Issue number9
DOIs
StatePublished - Sep 1 2011

Keywords

  • Artisan
  • Descemet stripping automated endothelial keratoplasty
  • Descemet stripping endothelial keratoplasty
  • Verisyse
  • iris-fixated phakic intraocular lens

ASJC Scopus subject areas

  • Ophthalmology

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