Anterior surface opacification of intraocular lenses after Descemet's stripping endothelial keratoplasty

Session Details

Session Title: Cornea Surgical I

Session Date/Time: Monday 15/09/2014 | 08:00-10:30

Paper Time: 08:49

Venue: Boulevard B

First Author: : Á.Ní Mhéalóid IRELAND

Co Author(s): :    T. Fulcher   M. O'Keefe           

Abstract Details

Purpose:

To report four cases of unexplained anterior intraocular lens (IOL) opacification after Descemet's stripping endothelial keratoplasty (DSEK).

Setting:

Mater Misericordiae University Hospital, Dublin

Methods:

Observational case series involving the collection of clinical data of three cases of hydrophilic IOL opacification and one case of opacification of a hydrophilic IOL with a hydrophobic surface in patients who underwent DSEK.

Results:

In all cases, the opacification interfered with visual acuity. Post-operative graft displacement occured in three cases requiring repositioning. A redo DSEK alone was required in another case. Attempted removal of the opacification in one case with Neodymium YAG (Nd: YAG) and by surgical means was unsuccessful and IOL explantation was required.

Conclusions:

Anterior IOL opacification is a new phenomenon that is becoming apparent in patients who have undergone DSEK performed either concurrently or after earlier phaceoemulsification and IOL insertion. The process of opacification may be mediated by repeated intracameral injections of air, a breakdown in the blood aqueous barrier (BAB) or a prolonged inflammatory reaction due to multiple procedures.

Financial Interest:

NONE