[Corneal edema in pseudophakia. A case report].
Pseudophakic bullous keratopathy is one of the most common complications of intraocular lenses, which explains the high rate of this condition in series of patients experiencing corneal grafts. It is caused by irreversible damage to the endothelial layer of the implanted eye involving the artificial lens, and occurs either during cataract extraction or after the operation. Intraoperative endothelial protection and the choice of an appropriate lens may contribute to decreasing this secondary disease, which can have severe consequences for many patients whose corneal graft may not restore their visual potential as well as expected. We report a clinicopathological case of a 59-year-old male, previously operated on for cataract in both eyes with an anterior chamber lens. A bilateral corneal edema occurred a few years after the operation, with a bilateral decrease in vision as a consequence. A corneal graft was performed in 2000 on the left eye in order to improve the patient's visual autonomy. The best treatment of this condition remains prevention, avoiding the use of this type of intraocular lens, whose main complication is corneal edema.
Service d'Ophtalmologie, Hôtel-Dieu, 1, place du Parvis Notre-Dame, 75181 Paris 04.
F
F
D'Hermies
P
P
Ellies
A
A
Meyer
P
P
Dighiero
J-M
JM
Legeais
K
K
Hannah
X
X
Morel
G
G
Renard
D002387:Cataract Extraction; D003315:Cornea / Q000473:pathology; D015715:Corneal Edema / Q000209:etiology* / Q000473:pathology; D016039:Corneal Transplantation; D006801:Humans; D007910:Lenses, Intraocular / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D019591:Pseudophakia / Q000150:complications*; D013997:Time Factors; D014792:Visual Acuity