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Corneal ulcer with luxated iol in the wound

Poster Details

First Author: M.Tamsalu ESTONIA

Co Author(s):    A. Klett              

Abstract Details



Purpose:

To describe a case of IOL luxation through a keratoplasty wound. Penetrating keratoplasty (PKP) was done about 2 years earlier. To show management of this complicated situation.

Setting:

East Tallinn Central Hospital Eye Clinic, Ravi 18, Tallinn 10138, Estonia

Methods:

A 63- year old man came to our emergency department complaining of discomfort in his right eye for a month. At initial referral , the IOL was luxated through the corneal perforation superiorly, there was no visible anterior chamber and no visualization of the fundus. The course of action was chosen. Due to the previously transplanted cornea and superior location of the wound, there was no option to do central PKP. Decision was made to implant cornea with larger diameter than usual, where donor cornea was cut with operating scissors including part of the limbus. On the second postoperative day there were precipitates on endothelium. The patient received steroid treatment (topical and systemic) over the following months with slow improvement.

Results:

In complicated cases the eye preservation should be chosen if possible. Despite of challenges, the end result can be rewarding.

Conclusions:

In cases like this, the management is very individual and depends on the physicians knowledge and experience and on the availability of donor material. FINANCIAL INTEREST: NONE

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