Case reportCorneal endothelial decompensation after iris-claw phakic intraocular lens implantationKim, Min MD; Kim, Jin Kook MD; Lee, Hyung Keun MD∗ Author Information From the Institute of Vision Research (M. Kim, Lee), Department of Ophthalmology, Yonsei University College of Medicine, and the BS Balgensesang Ophthalmologic Clinic (J.K. Kim), Seoul, Korea ∗Corresponding author: Hyung Keun Lee, Department of Ophthalmology, College of Medicine Yonsei University, 146-92 Dogok-dong, Kangnam-gu, Seoul, Korea, 135-720. E-mail: [email protected] Accepted for publication October 31, 2007. No author has a financial or proprietary interest in any material or method mentioned. Journal of Cataract & Refractive Surgery 34(3):p 517-519, March 2008. | DOI: 10.1016/j.jcrs.2007.10.030 Buy Metrics Abstract A 25-year-old man received iris-claw phakic intraocular lenses (pIOLs) (Artisan, Ophtec) of −11.5 diopters (D) in the right eye and −13.0 D in the left eye; both pIOLs had a 6.0 mm optic and 8.5 mm haptics. Twenty months postoperatively, the best corrected visual acuity was 20/400 in the right eye and 20/25 in the left eye. Slitlamp examination revealed microcystic bullae, keratic precipitates, stromal edema, and ciliary injection in both eyes. Central corneal thickness was 704 μm in the right eye and 639 μm in the left eye; specular biomicroscopy showed reduced endothelial cell density of 548 cells/mm2 and 564 cells/mm2, respectively. The pIOL in the right eye was eventually explanted. © 2008 by Lippincott Williams & Wilkins, Inc.