Outcome of Refractive IOL Exchange in Traumatic Unilateral Axial Myopia

ABSTRACT Objective To report opacification of hydrophilic acrylic and silicone foldable intraocular lenses (IOL). Designs Case series. Participants Five patients with IOL opacification. Results We report five eyes of five patients with late opacification of the intraocular lens (IOL). Three patients had hydrophilic acrylic (SC60B-OUV-MDR, Inc), two had silicone IOL (Allergan SI30NB). Two out of the three patients with opacified hydrophilic acrylic IOLs had diabetes mellitus. Three eyes with opacified acrylic IOL underwent IOL exchange with hydrophobic acrylic IOL. Two silicone IOL patients had no visually significant opacification and were managed conservatively. Conclusion IOL optic opacification in hydrophilic acrylic and silicone IOL may be due to defective material, manufacturing process, storage. How to cite this article Ram J, Gupta N, Chaudhary M, Sukhija JS, Gupta A, Kumar J. Late Opacification of Foldable Intraocular Lenses. J Postgrad Med Edu Res 2012;46(2):95-97.

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Outcomes of ultrathin Descemet stripping automated endothelial keratoplasty (UT-DSAEK) performed in eyes with failure of primary Descemet membrane endothelial keratoplasty (DMEK)

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2017-311834 ◽

2018 ◽

Vol 103 (5) ◽

pp. 599-603 ◽

Cited By ~ 2

Author(s):

Shmuel Graffi ◽

Pia Leon ◽

Yoav Nahum ◽

Shay Gutfreund ◽

Rossella Spena ◽

...

Keyword(s):

Intraoperative Complications ◽

Tertiary Care ◽

Case Series ◽

Care Hospital ◽

Endothelial Keratoplasty ◽

Descemet Membrane Endothelial Keratoplasty ◽

Visual Rehabilitation ◽

Descemet Membrane ◽

Graft Thickness ◽

Iol Exchange

AimTo evaluate the outcomes of ultrathin Descemet stripping automated endothelial keratoplasty (UT-DSAEK) performed in eyes after failure of primary Descemet membrane endothelial keratoplasty (DMEK).MethodsThis was a retrospective, non-comparative interventional case series done in a tertiary care hospital. The study group included 21 eyes of patients which underwent UT-DSAEK following the failure of primary DMEK. Outcome measures included best spectacle-corrected visual acuity (BSCVA) and endothelial cell density (ECD) both recorded 6 and 12 months postoperatively as well as central graft thickness (CGT) measured 6 months after UT-DSAEK.ResultsWhen considering only eyes without comorbidities (17 of 21), 12 months after UT-DSAEK, BSCVA was ≥20/25 in 12/13 (92%) eyes and ≥20/20 in 4/13 (30%) eyes. Mean ECD loss rate was 38.9% at 12 months postoperatively (range 8%–57%). Six months postoperatively, CGT averaged at 81±34 µm (range 34–131 µm). No intraoperative complications were recorded. Postoperatively, one patient (no. 8) had graft wrinkles that were fixed 2 days following UT-DSAEK. Four patients have developed intraocular lens (IOL) opacification, and two of them underwent IOL exchange. No other postoperative complications were recorded.ConclusionsUT-DSAEK is instrumental in the management of primary DMEK graft failure, allowing visual rehabilitation which is comparable with that of repeat DMEK.

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