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Delayed dislocation of posterior chamber intraocular lens following endothelial keratoplasty

Poster Details

First Author: M.Abozaid EGYPT

Co Author(s):    S. Koenig   T. Connor Jr                 

Abstract Details

Purpose:

To describe the clinical course and management of three patients with posterior dislocation of a posterior chamber intraocular lens (PC-IOL) after an endothelial keratoplasty

Setting:

Ophthalmology Department, Medical College of Wisconsin, Milwaukee, WI, USA.

Methods:

A review of surgical logs identified three patients that had dislocation of PC-IOLs following endothelial keratoplasty. We retrospectively reviewed the charts of these cases

Results:

Three cases with dislocation of the posterior chamber intraocular lens following endothelial keratoplasty. One of them had previous Descemet's stripping endothelial keratoplasty (DSEK) and the other two had Descemet's stripping automated endothelial keratoplasty (DSAEK). All three cases had previous complex ocular history with multiple surgeries. and all of them were managed with pars plana vitrectomy with exchange of the dislocated PC-IOL with an anterior chamber intraocular lens (AC-IOL). Following Vitrectomy, 2 cases developed subsequent failure of their grafts that necessitated repeat grafting which improved their visual acuity.

Conclusions:

Multiple factors may predispose to dislocation of a PC-IOL following DSEK/DSAEK including multiple previous surgeries, pseudoexfoliation syndrome and presence of a scleral fixated intraocular lens. Such dislocation can be successfully managed by pars plana vitrectomy and exchange of the PC-IOL with an AC-IOL when the lens capsule support is lacking.

Financial Disclosure:

NONE

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