Opacification of hydrophilic intraocular lenses after Descemet stripping automated endothelial keratoplasty

Peter J Morgan-Warren, Walter Andreatta, Amit K Patel Department of Ophthalmology, Solihull Hospital, Heart of England NHS Foundation Trust, Birmingham, UK Purpose: Opacification of hydrophilic acrylic intraocular lenses (IOLs) is an emerging complication following Descemet stripping auto...

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Autores principales:	Morgan-Warren PJ, Andreatta W, Patel AK
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3410e1ff8d6b479bace1aee71c1c6f7c
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spelling	oai:doaj.org-article:3410e1ff8d6b479bace1aee71c1c6f7c2021-12-02T02:07:48ZOpacification of hydrophilic intraocular lenses after Descemet stripping automated endothelial keratoplasty1177-5483https://doaj.org/article/3410e1ff8d6b479bace1aee71c1c6f7c2015-02-01T00:00:00Zhttp://www.dovepress.com/opacification-of-hydrophilic-intraocular-lenses-after-descemet-strippi-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Peter J Morgan-Warren, Walter Andreatta, Amit K Patel Department of Ophthalmology, Solihull Hospital, Heart of England NHS Foundation Trust, Birmingham, UK Purpose: Opacification of hydrophilic acrylic intraocular lenses (IOLs) is an emerging complication following Descemet stripping automated endothelial keratoplasty (DSAEK). We report six cases and review the current literature.Methods: In this retrospective, noncomparative, observational case series, patients with IOL opacification after previous DSAEK surgery were identified from corneal clinic records. Case notes were reviewed for demographic details, indication for DSAEK, IOL model, incidence of rebubbling, and postoperative course.Results: Six patients developed IOL opacification after DSAEK. All patients had Fuchs’ endothelial dystrophy and had previously received hydrophilic acrylic IOL models. Central anterior IOL opacification was noted in all six cases. Five cases (83%) had required rebubbling due to dislocated graft tissue, and one had an early postoperative intraocular pressure (IOP) rise. Five cases (83%) were managed conservatively, and one case with a failed graft underwent redo DSAEK and IOL exchange.Conclusion: Repeated exposure to intracameral air, raised IOP, and other patient influences may be major etiological factors for IOL opacification after DSAEK. We advise avoiding hydrophilic acrylic IOL models in patients who may require future endothelial keratoplasty. Keywords: IOL, DSAEK, lamellar keratoplasty, endothelial corneal transplantationMorgan-Warren PJAndreatta WPatel AKDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 277-283 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Morgan-Warren PJ Andreatta W Patel AK Opacification of hydrophilic intraocular lenses after Descemet stripping automated endothelial keratoplasty
description	Peter J Morgan-Warren, Walter Andreatta, Amit K Patel Department of Ophthalmology, Solihull Hospital, Heart of England NHS Foundation Trust, Birmingham, UK Purpose: Opacification of hydrophilic acrylic intraocular lenses (IOLs) is an emerging complication following Descemet stripping automated endothelial keratoplasty (DSAEK). We report six cases and review the current literature.Methods: In this retrospective, noncomparative, observational case series, patients with IOL opacification after previous DSAEK surgery were identified from corneal clinic records. Case notes were reviewed for demographic details, indication for DSAEK, IOL model, incidence of rebubbling, and postoperative course.Results: Six patients developed IOL opacification after DSAEK. All patients had Fuchs’ endothelial dystrophy and had previously received hydrophilic acrylic IOL models. Central anterior IOL opacification was noted in all six cases. Five cases (83%) had required rebubbling due to dislocated graft tissue, and one had an early postoperative intraocular pressure (IOP) rise. Five cases (83%) were managed conservatively, and one case with a failed graft underwent redo DSAEK and IOL exchange.Conclusion: Repeated exposure to intracameral air, raised IOP, and other patient influences may be major etiological factors for IOL opacification after DSAEK. We advise avoiding hydrophilic acrylic IOL models in patients who may require future endothelial keratoplasty. Keywords: IOL, DSAEK, lamellar keratoplasty, endothelial corneal transplantation
format	article
author	Morgan-Warren PJ Andreatta W Patel AK
author_facet	Morgan-Warren PJ Andreatta W Patel AK
author_sort	Morgan-Warren PJ
title	Opacification of hydrophilic intraocular lenses after Descemet stripping automated endothelial keratoplasty
title_short	Opacification of hydrophilic intraocular lenses after Descemet stripping automated endothelial keratoplasty
title_full	Opacification of hydrophilic intraocular lenses after Descemet stripping automated endothelial keratoplasty
title_fullStr	Opacification of hydrophilic intraocular lenses after Descemet stripping automated endothelial keratoplasty
title_full_unstemmed	Opacification of hydrophilic intraocular lenses after Descemet stripping automated endothelial keratoplasty
title_sort	opacification of hydrophilic intraocular lenses after descemet stripping automated endothelial keratoplasty
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/3410e1ff8d6b479bace1aee71c1c6f7c
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Opacification of hydrophilic intraocular lenses after Descemet stripping automated endothelial keratoplasty

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