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 | |
| State | Published - Apr 1 2023 |
Keywords
- DSAEK
- DSEK
- hydrophilic acrylic intraocular lens
- lens opacification
- pupilloplasty
ASJC Scopus subject areas
- Ophthalmology
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