Surgical management of a posterior dislocated intraocular lens after descemet stripping automated endothelial keratoplasty

Matthew Rauen; Stephen R Russell; Shachar Tauber; Kenneth Mark Goins

doi:10.1097/ICO.0b013e3181ab96d4

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Surgical management of a posterior dislocated intraocular lens after descemet stripping automated endothelial keratoplasty

Journal article

Peer reviewed

Surgical management of a posterior dislocated intraocular lens after descemet stripping automated endothelial keratoplasty

Matthew Rauen, Stephen R Russell, Shachar Tauber and Kenneth Mark Goins

Cornea, Vol.29(3), pp.350-353

03/2010

DOI: 10.1097/ICO.0b013e3181ab96d4

PMID: 20098315

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Abstract

To describe the occurrence and management of a posterior chamber intraocular lens (IOL) dislocation into the vitreous cavity after Descemet stripping automated endothelial keratoplasty (DSAEK). We describe the clinical course of a pseudophakic patient with Fuchs endothelial dystrophy and previous Neodymium: Yttrium-Aluminum-Garnet (Nd:YAG) laser capsulotomy who underwent DSAEK. On postoperative day 10, the patient was examined and a detachment of the DSAEK graft was noted. After disc reattachment with use of an air bubble, the patient's vision did not clear because of persistent edema, but he appreciated a new large floater. A diagnosis of iatrogenic graft failure was made, and ultrasound examination confirmed dislocation of a plate-haptic silicone IOL into the vitreous cavity. The patient was treated with pars plana vitrectomy and concurrent penetrating keratoplasty. One year after penetrating keratoplasty, the patient had a visual acuity of 20/60 with mild neurotrophic keratopathy and irregular astigmatism. The use of intraocular air at the time of graft repositioning can induce posterior dislocation of an IOL in the setting of a YAG capsulotomy opening.

Foreign-Body Migration - etiology

Fuchs' Endothelial Dystrophy - surgery

Humans

Foreign-Body Migration - surgery

Male

Lenses, Intraocular

Visual Acuity

Descemet Stripping Endothelial Keratoplasty - adverse effects

Prosthesis Failure

Keratoplasty, Penetrating

Vitrectomy

Aged

Pseudophakia - etiology

Details

Title: Subtitle: Surgical management of a posterior dislocated intraocular lens after descemet stripping automated endothelial keratoplasty
Creators: Matthew Rauen - Department of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, IA, USA
Stephen R Russell
Shachar Tauber
Kenneth Mark Goins
Resource Type: Journal article
Publication Details: Cornea, Vol.29(3), pp.350-353
Publisher: United States
DOI: 10.1097/ICO.0b013e3181ab96d4
PMID: 20098315
ISSN: 0277-3740
eISSN: 1536-4798
Language: English
Date published: 03/2010
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9983979971302771

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