scholarly journals Descemet Stripping Endothelial Keratoplasty in Microcornea for Pseudophakic Bullous Keratopathy With Anterior Chamber Intraocular Lens

Cureus ◽  
2021 ◽  
Author(s):  
Aanchal Singhal ◽  
Jaya Kaushik ◽  
Ankita Singh ◽  
Rakesh Shetty
Keyword(s):  
Anterior Chamber ◽  
Intraocular Lens ◽  
Bullous Keratopathy ◽  
Endothelial Keratoplasty ◽  
Descemet Stripping Endothelial Keratoplasty ◽  
Pseudophakic Bullous Keratopathy

Endothelial keratoplasty with anterior chamber intraocular lens versus secondary posterior chamber intraocular lens

2020 ◽  
pp. bjophthalmol-2020-316711
Author(s):  
Jyh Haur Woo ◽  
Anshu Arundhati ◽  
Soon-Phaik Chee ◽  
Weihan Tong ◽  
Lim Li ◽  
...  
Keyword(s):  
Anterior Chamber ◽  
Graft Survival ◽  
Intraocular Lens ◽  
Posterior Chamber ◽  
Bullous Keratopathy ◽  
Endothelial Keratoplasty ◽  
Significant Difference ◽  
Iris Claw ◽  
Iol Exchange

AimTo describe the long-term outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) with an anterior chamber intraocular lens (ACIOL) compared to secondary posterior chamber (PC) IOL.MethodsThis was a retrospective comparative cohort study. The clinical data of 82 eyes from 82 consecutive patients with pseudophakic (PBK) or aphakic bullous keratopathy (ABK) who either underwent DSAEK with retained or secondary ACIOL (n=23) or DSAEK with IOL exchange and/or secondary PCIOL (retropupillary iris-claw IOL, n=25; intrascleral-fixated IOL, n=29; or sulcus IOL, n=5) were analysed. The main outcome measures were graft survival and complications up to 5 years.ResultsThe graft survival in the secondary PCIOL group was superior than the ACIOL group over 5 years (year 1, 100.0% vs 100.0%; year 3, 94.7% vs 75.0%; year 5, 91.1% vs 60.6%, p=0.022). The presence of an ACIOL was a significant risk factor associated with graft failure (HR, 4.801; 95% CI, 1.406 to 16.396, p=0.012) compared to a secondary PCIOL. There was no significant difference in the rate of graft detachment and elevated intraocular pressure between the groups. There were five cases (9.3%) of IOL subluxation or dislocation in the retropupillary iris-claw and intrascleral-fixated IOL groups.ConclusionsEyes that underwent DSAEK with ACIOL in situ had poorer long-term graft survival compared with those with secondary PCIOL. Intraocular lens exchange was not associated with a higher complication rate. In ABK or PBK eyes with ACIOL, we recommend performing IOL exchange and/or secondary PCIOL implantation combined with endothelial keratoplasty.

scholarly journals Penetrating keratoplasty and anterior chamber intraocular lens implant: Outcomes in aphakic and pseudophakic bullous keratopathy

1997 ◽  
Vol 60 (5) ◽  
Author(s):  
Paulo E. C. Dantas ◽  
M. Cristina Nishiwaki-Dantas ◽  
Richard L. Abbott ◽  
Robert G. Webster ◽  
Wayne E. Fung
Keyword(s):  
Anterior Chamber ◽  
Intraocular Lens ◽  
Penetrating Keratoplasty ◽  
Bullous Keratopathy ◽  
Pseudophakic Bullous Keratopathy

Endothelial keratoplasty for bullous keratopathy in eyes with an anterior chamber intraocular lens

2013 ◽  
Vol 39 (12) ◽  
pp. 1835-1845 ◽  
Author(s):  
Vasilios S. Liarakos ◽  
Lisanne Ham ◽  
Isabel Dapena ◽  
Maya C. Tong ◽  
Ruth Quilendrino ◽  
...  
Keyword(s):  
Anterior Chamber ◽  
Intraocular Lens ◽  
Bullous Keratopathy ◽  
Endothelial Keratoplasty
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