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Combined DSAEK and intraocular lens flipping with retropupillary fixation in a patient with anterior chamber iris-claw intraocular lens and corneal edema.
Journal of Cataract & Refractive Surgery ( IF 2.8 ) Pub Date : 2019-09-01 , DOI: 10.1016/j.jcrs.2019.04.014
George D Kymionis 1 , Nafsika Voulgari 1 , Kattayoon Hashemi 1 , Michael A Grentzelos 1 , Dimitrios Mikropoulos 2
Affiliation  

An 84-year-old monocular woman was referred to our institution for the management of corneal decompensation in her only eye, the right eye. The patient had secondary implantation of an anterior chamber iris-claw intraocular lens (IOL) for IOL dislocation in the setting of pseudoexfoliation syndrome 2 years before presentation. Descemet-stripping automated endothelial keratoplasty (DSAEK) combined with retropupillary repositioning of the iris-claw IOL using a flipping technique was performed for the treatment of corneal edema. No intraoperative or postoperative complications occurred. Six months postoperatively, the corneal graft was attached and clear and the retropupillary iris-claw IOL was well positioned. The uncorrected distance visual acuity and corrected distance visual acuity improved from counting fingers preoperatively to 20/200 and 20/63, respectively, after surgery. Combined DSAEK and retropupillary refixation of a prepupillary iris-claw IOL using the flipping technique was a safe technique in this patient with corneal decompensation.

中文翻译:

DSAEK和人工晶状体翻转联合瞳孔后固定联合治疗前房虹膜爪眼人工晶状体和角膜水肿的患者。

一名84岁的单眼妇女因其唯一的眼睛(右眼)被转诊到我们的机构,负责处理角膜代偿失调。在出现假性剥脱综合征的情况下,该患者在就诊前2年进行了前房虹膜爪人工晶状体(IOL)脱位的二次植入术。进行去角膜剥离自动内皮角膜移植术(DSAEK)结合虹膜爪IOL的后瞳孔再定位,使用翻转技术,以治疗角膜水肿。没有发生术中或术后并发症。术后六个月,将角膜移植物附着并清除,将后瞳孔虹膜爪IOL放置在适当位置。未矫正的远距离视力和矫正的远距离视力从术前数指提高到术前的20/200和20/63,分别在手术后。使用翻转技术将DSAEK与瞳孔前虹膜爪人工晶体后瞳孔固定结合起来使用,对于该角膜代偿失调患者是一种安全的技术。
更新日期:2019-08-27
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