Combined Temporary Pupilloplasty and DSEK in an Eye with a Hydrophilic Acrylic Intraocular Lens to Prevent Opacification: A Case Report

Ariel Chen; Fasika A. Woreta; Albert S. Jun

doi:10.1097/ICO.0000000000003206

Combined Temporary Pupilloplasty and DSEK in an Eye with a Hydrophilic Acrylic Intraocular Lens to Prevent Opacification: A Case Report

Ariel Chen, Fasika A. Woreta, Albert S. Jun

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose:The aim of this study was to describe a case of temporary pupilloplasty during Descemet stripping endothelial keratoplasty to prevent opacification of a hydrophilic acrylic intraocular lens (IOL).Methods:A 60-year-old man presented with corneal edema in the left eye after a traumatic cataract removal and scleral suture fixation of a hydrophilic acrylic IOL (Akreos, Bausch + Lomb, Bridgewater, NJ). Descemet stripping endothelial keratoplasty with temporary pupilloplasty was performed. The pupilloplasty was lysed with neodymium:YAG laser on postoperative day 5 after the air bubble was no longer present.Results:At 1 year after surgery, the patient did not develop IOL opacification despite the intracameral air used during the surgery.Conclusions:Opacification of hydrophilic acrylic lenses is a visually significant complication of intracameral gas from endothelial keratoplasty. Our case demonstrates the potential to prevent IOL opacification in a patient with a hydrophilic acrylic IOL by using temporary pupilloplasty.

Original language	English (US)
Pages (from-to)	487-489
Number of pages	3
Journal	Cornea
Volume	42
Issue number	4
DOIs	https://doi.org/10.1097/ICO.0000000000003206
State	Published - Apr 1 2023

Keywords

DSAEK
DSEK
hydrophilic acrylic intraocular lens
lens opacification
pupilloplasty

ASJC Scopus subject areas

Ophthalmology

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10.1097/ICO.0000000000003206

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title = "Combined Temporary Pupilloplasty and DSEK in an Eye with a Hydrophilic Acrylic Intraocular Lens to Prevent Opacification: A Case Report",

abstract = "Purpose:The aim of this study was to describe a case of temporary pupilloplasty during Descemet stripping endothelial keratoplasty to prevent opacification of a hydrophilic acrylic intraocular lens (IOL).Methods:A 60-year-old man presented with corneal edema in the left eye after a traumatic cataract removal and scleral suture fixation of a hydrophilic acrylic IOL (Akreos, Bausch + Lomb, Bridgewater, NJ). Descemet stripping endothelial keratoplasty with temporary pupilloplasty was performed. The pupilloplasty was lysed with neodymium:YAG laser on postoperative day 5 after the air bubble was no longer present.Results:At 1 year after surgery, the patient did not develop IOL opacification despite the intracameral air used during the surgery.Conclusions:Opacification of hydrophilic acrylic lenses is a visually significant complication of intracameral gas from endothelial keratoplasty. Our case demonstrates the potential to prevent IOL opacification in a patient with a hydrophilic acrylic IOL by using temporary pupilloplasty.",

keywords = "DSAEK, DSEK, hydrophilic acrylic intraocular lens, lens opacification, pupilloplasty",

author = "Ariel Chen and Woreta, {Fasika A.} and Jun, {Albert S.}",

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year = "2023",

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doi = "10.1097/ICO.0000000000003206",

language = "English (US)",

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T2 - A Case Report

AU - Chen, Ariel

AU - Woreta, Fasika A.

AU - Jun, Albert S.

PY - 2023/4/1

Y1 - 2023/4/1

N2 - Purpose:The aim of this study was to describe a case of temporary pupilloplasty during Descemet stripping endothelial keratoplasty to prevent opacification of a hydrophilic acrylic intraocular lens (IOL).Methods:A 60-year-old man presented with corneal edema in the left eye after a traumatic cataract removal and scleral suture fixation of a hydrophilic acrylic IOL (Akreos, Bausch + Lomb, Bridgewater, NJ). Descemet stripping endothelial keratoplasty with temporary pupilloplasty was performed. The pupilloplasty was lysed with neodymium:YAG laser on postoperative day 5 after the air bubble was no longer present.Results:At 1 year after surgery, the patient did not develop IOL opacification despite the intracameral air used during the surgery.Conclusions:Opacification of hydrophilic acrylic lenses is a visually significant complication of intracameral gas from endothelial keratoplasty. Our case demonstrates the potential to prevent IOL opacification in a patient with a hydrophilic acrylic IOL by using temporary pupilloplasty.

AB - Purpose:The aim of this study was to describe a case of temporary pupilloplasty during Descemet stripping endothelial keratoplasty to prevent opacification of a hydrophilic acrylic intraocular lens (IOL).Methods:A 60-year-old man presented with corneal edema in the left eye after a traumatic cataract removal and scleral suture fixation of a hydrophilic acrylic IOL (Akreos, Bausch + Lomb, Bridgewater, NJ). Descemet stripping endothelial keratoplasty with temporary pupilloplasty was performed. The pupilloplasty was lysed with neodymium:YAG laser on postoperative day 5 after the air bubble was no longer present.Results:At 1 year after surgery, the patient did not develop IOL opacification despite the intracameral air used during the surgery.Conclusions:Opacification of hydrophilic acrylic lenses is a visually significant complication of intracameral gas from endothelial keratoplasty. Our case demonstrates the potential to prevent IOL opacification in a patient with a hydrophilic acrylic IOL by using temporary pupilloplasty.

KW - DSAEK

KW - DSEK

KW - hydrophilic acrylic intraocular lens

KW - lens opacification

KW - pupilloplasty

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Combined Temporary Pupilloplasty and DSEK in an Eye with a Hydrophilic Acrylic Intraocular Lens to Prevent Opacification: A Case Report

Abstract

Keywords

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