Descemet membrane endothelial keratoplasty in a patient with iris-fixated intraocular lens and prior radial keratotomy: a case report

BACKGROUND: Anterior segment surgeries such as cataract surgery, intraocular lens (IOL) repositioning, and radial keratotomy (RK) may hasten endothelial dysfunction, particularly in the context of pre-existing Fuchs dystrophy, necessitating future corneal transplantation. CASE PRESENTATION: A 68-yea...

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Autores principales: Annadanam, Anvesh, Soeken, Timothy, Shah, Manjool, Nallasamy, Nambi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8454097/
https://www.ncbi.nlm.nih.gov/pubmed/34544369
http://dx.doi.org/10.1186/s12886-021-02103-1
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author Annadanam, Anvesh
Soeken, Timothy
Shah, Manjool
Nallasamy, Nambi
author_facet Annadanam, Anvesh
Soeken, Timothy
Shah, Manjool
Nallasamy, Nambi
author_sort Annadanam, Anvesh
collection PubMed
description BACKGROUND: Anterior segment surgeries such as cataract surgery, intraocular lens (IOL) repositioning, and radial keratotomy (RK) may hasten endothelial dysfunction, particularly in the context of pre-existing Fuchs dystrophy, necessitating future corneal transplantation. CASE PRESENTATION: A 68-year-old woman with a history of RK with associated irregular astigmatism in both eyes and iris-fixated intraocular lens (IF-IOL) in the left eye presented with six months of decreased vision in the left eye. She was found to have Fuchs dystrophy and underwent DMEK surgery. She had an uncomplicated postoperative course, with uncorrected visual acuity improving to 20/20 three months after surgery. CONCLUSION: To our knowledge, this is the first reported case of a highly successful DMEK surgery in a patient with prior RK and IF-IOL. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12886-021-02103-1.
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spelling pubmed-84540972021-09-21 Descemet membrane endothelial keratoplasty in a patient with iris-fixated intraocular lens and prior radial keratotomy: a case report Annadanam, Anvesh Soeken, Timothy Shah, Manjool Nallasamy, Nambi BMC Ophthalmol Case Report BACKGROUND: Anterior segment surgeries such as cataract surgery, intraocular lens (IOL) repositioning, and radial keratotomy (RK) may hasten endothelial dysfunction, particularly in the context of pre-existing Fuchs dystrophy, necessitating future corneal transplantation. CASE PRESENTATION: A 68-year-old woman with a history of RK with associated irregular astigmatism in both eyes and iris-fixated intraocular lens (IF-IOL) in the left eye presented with six months of decreased vision in the left eye. She was found to have Fuchs dystrophy and underwent DMEK surgery. She had an uncomplicated postoperative course, with uncorrected visual acuity improving to 20/20 three months after surgery. CONCLUSION: To our knowledge, this is the first reported case of a highly successful DMEK surgery in a patient with prior RK and IF-IOL. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12886-021-02103-1. BioMed Central 2021-09-20 /pmc/articles/PMC8454097/ /pubmed/34544369 http://dx.doi.org/10.1186/s12886-021-02103-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Annadanam, Anvesh
Soeken, Timothy
Shah, Manjool
Nallasamy, Nambi
Descemet membrane endothelial keratoplasty in a patient with iris-fixated intraocular lens and prior radial keratotomy: a case report
title Descemet membrane endothelial keratoplasty in a patient with iris-fixated intraocular lens and prior radial keratotomy: a case report
title_full Descemet membrane endothelial keratoplasty in a patient with iris-fixated intraocular lens and prior radial keratotomy: a case report
title_fullStr Descemet membrane endothelial keratoplasty in a patient with iris-fixated intraocular lens and prior radial keratotomy: a case report
title_full_unstemmed Descemet membrane endothelial keratoplasty in a patient with iris-fixated intraocular lens and prior radial keratotomy: a case report
title_short Descemet membrane endothelial keratoplasty in a patient with iris-fixated intraocular lens and prior radial keratotomy: a case report
title_sort descemet membrane endothelial keratoplasty in a patient with iris-fixated intraocular lens and prior radial keratotomy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8454097/
https://www.ncbi.nlm.nih.gov/pubmed/34544369
http://dx.doi.org/10.1186/s12886-021-02103-1
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