Complications and outcomes of descemet stripping automated endothelial keratoplasty with artisan aphakia intraocular lens implantation
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Jing Hong. Department of Ophthalmology, Peking University Third Hospital, No.49 Garden North Road, Haidian, Beijing 100191, China. hongjing64@yahoo.com

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Supported by the National Natural Science Foundation of China (No.30871315; No.31140025; No.31271045).

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    Abstract:

    AIM: To evaluate the complications and outcomes of descemet stripping automated endothelial keratoplasty (DSAEK) combined with artisan aphakia intraocular lens (IOL) implantation in severely damaged eyes without capsular support. METHODS: DSAEK combined with artisan iris claw IOL implantation was performed on 29 eyes. All eyes were of abnormal structure due to complications from prior intraocular surgeries and ocular trauma. Ocular complications observed included graft dislocations, high intraocular pressure (IOP), IOL dislocations, macular edema and hyphema. Best corrected visual acuity (BCVA), IOP and mean central endothelial cell density (ECD) were recorded. RESULTS: Thirteen eyes had a history of ocular trauma, 10 eyes had an anterior chamber IOL, 16 eyes had prior vitrectomy. The iris was abnormal in 22 cases. Graft dislocation occurred in 5 (17.2%) of 29 eyes. IOL dislocation occurred in 2 eyes (6.9%). High IOP was found in 9 eyes and was controlled with treatment. The preoperative mean BCVA was 20/286. The 6mo postoperative mean BCVA was 20/42. The average center ECD was 1965.3 cells/mm2 at 6mo, and the rate of the donor cell loss was 34.7%. CONCLUSION: DSAEK combined with artisan aphakia IOL implantation is an alternative option for resolving endothelial and lens disorders in aphakic eyes without capsular support. However, it should be performed cautiously for eyes with severe iris defects.

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Rong-Mei Peng, Yu-Xin Guo, Yuan Qiu, et al. Complications and outcomes of descemet stripping automated endothelial keratoplasty with artisan aphakia intraocular lens implantation. Int J Ophthalmol, 2018,11(4):607-611

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History
  • Received:March 07,2017
  • Revised:February 05,2018
  • Adopted:
  • Online: April 10,2018
  • Published: