Outcome of descemet stripping automated endothelial keratoplasty in patients with an anterior chamber intraocular lens

• Published in: Cornea Vol. 29; no. 11; p. 1273
• Main Authors: Elderkin, Saba, Tu, Elmer, Sugar, Joel, Reddy, Satya, Kadakia, Arpita, Ramaswamy, Rani, Djalilian, Ali
• Format: Journal Article
• Language: English
• Published: United States 01.11.2010
• Subjects: Aged; Aged, 80 and over; Anterior Chamber - surgery; Descemet Stripping Endothelial Keratoplasty - adverse effects; Follow-Up Studies; Humans; Lens Implantation, Intraocular; Middle Aged; Retrospective Studies; Time Factors; Treatment Outcome; Visual Acuity
• ISSN: 1536-4798
• DOI: 10.1097/ICO.0b013e3181d00a5e

To evaluate the outcome of Descemet stripping automated endothelial keratoplasty (DSAEK) in patients with a retained anterior chamber intraocular lens (ACIOL). A retrospective review of 11 patients with corneal decompensation and ACIOL who underwent DSAEK was performed. All patients except 1 had open-loop style ACIOLs, and in all cases, there was adequate anterior chamber depth. At the time of surgery, 6 patients had a temporary suture to secure their graft, 2 of which were retained from the insertion method, and the other 4 were placed additionally. Postoperatively, the rate of donor detachment, graft clarity, corneal pachymetry, and visual acuity were noted. There was only 1 graft dislocation postoperatively, which was reattached successfully by air injection. There was 1 primary graft failure (without dislocation) among the 11 patients during the mean follow-up of 12 months (range: 6-25 months); at last follow-up, the visual acuity had improved in all the other 10 patients. This series demonstrates that DSAEK can be performed successfully in patients with existing ACIOLs. These early outcomes suggest that DSAEK alone may be considered as an alternative to a lens exchange with DSAEK in patients with adequate anterior chamber depth.