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Intraocular Lens Exchange 1 Week After Descemet Stripping Automated Endothelial Keratoplasty

Lapenna, Lucia MD*; Kadyan, Anju MS, FRCS(Ed)†; Busin, Massimo MD*

doi: 10.1097/ICO.0b013e3181a1669e
Case Report

Purpose: To report a case of intraocular lens (IOL) exchange performed 1 week after Descemet stripping automated endothelial keratoplasty (DSAEK).

Methods: Describe the clinical findings and outcome of IOL exchange in an 80-year-old man with pseudophakic bullous keratopathy and retained Artisan (Ophtec BV, Groningen, the Netherlands) iris-fixated IOL after uneventful DSAEK.

Results: The patient presented on the third postoperative day after DSAEK with disenclavation of the nasal iris claw and inferior dislocation of the IOL. The dislocated IOL was removed and exchanged with an angle-supported open-loop anterior chamber lens 7 days after the initial DSAEK procedure.

Conclusions: Despite the relatively traumatic intraocular manipulation, the donor tissue was unaffected in its position and clarity. This case demonstrates that successful DSAEK surgery is compatible with additional surgical procedures, even if they are performed in the early postoperative period.

From the *Department of Ophthalmology, Villa Serena Hospital, Via Del Camaldolino, ForlÌ, Italy; and †Department of Ophthalmology, Birmingham and Midland Eye Center, Birmingham, United Kingdom.

Received for publication October 20, 2008; revision received January 25, 2009; accepted February 12, 2009.

M. Busin received royalties for Busin glide and Busin forceps from Moria, Antony, France.

Reprints: Massimo Busin, MD, Villa Serena Hospital, Via Del Camaldolino 8, 47100 ForlÌ, Italy (e-mail: mbusin@yahoo.com).

© 2010 Lippincott Williams & Wilkins, Inc.