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Case of late-onset corneal decompensation after iris-fixated phakic intraocular lens implantation
- Source :
- Journal of Cataract and Refractive Surgery, 35, 4, pp. 774-7, Journal of Cataract and Refractive Surgery, 35, 774-7, Journal of Cataract and Refractive Surgery, 35(4), 774-7. Elsevier Science
- Publication Year :
- 2009
- Publisher :
- Elsevier Science, 2009.
-
Abstract
- Item does not contain fulltext A 48-year-old myopic patient with bilateral anterior chamber depth of 3.1 mm and endothelial cell density (ECD) of 2525 cells/mm(2) and 2638 cells/mm(2) preoperatively had bilateral implantation of an Artisan iris-fixated phakic intraocular lens (pIOL). Five years postoperatively, unilateral corneal stromal edema was seen in a circumscribed area overlying the temporal ridge of the pIOL in the right eye; the ECD was 1631 cells/mm(2) and the pachymetry, 586 microm. Explantation of the pIOL was refused by the patient. Seven years postoperatively, the ECD was 413 cells/mm(2) in the right eye and corneal decompensation occurred. The progressive unilateral endothelial loss was explained by excessive rubbing of the eyes because of chronic itching and an anterior shift of the pIOL over the 7 years as demonstrated by anterior optical coherence tomography.
- Subjects :
- Phakic Intraocular Lenses
medicine.medical_specialty
genetic structures
Anterior Chamber
Corneal Stroma
medicine.medical_treatment
Iris
Cell Count
Late onset
Intraocular lens
Phakic intraocular lens
Genomic disorders and inherited multi-system disorders [IGMD 3]
Lens Implantation, Intraocular
Cornea
Ophthalmology
Myopia
medicine
Humans
Decompensation
Iris (anatomy)
Corneal stromal edema
Corneal Decompensation
business.industry
Corneal Edema
Endothelium, Corneal
Middle Aged
Sensory Systems
eye diseases
Surgery
medicine.anatomical_structure
Evaluation of complex medical interventions [NCEBP 2]
Female
sense organs
business
Tomography, Optical Coherence
Subjects
Details
- Language :
- English
- ISSN :
- 18734502 and 08863350
- Volume :
- 35
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of Cataract and Refractive Surgery
- Accession number :
- edsair.doi.dedup.....534d1806e44de49b6982724c48282203