title: Retained IOL fragment and corneal decompensation after pseudophakic IOL exchange.
abstract: A 72-year-old man had exchange of a foldable silicone multifocal intraocular lens (IOL) by transection, removal, and monofocal IOL replacement. One month after the exchange, irreversible corneal edema developed and penetrating keratoplasty was performed. At the time of the corneal transplant, a small silicone fragment was discovered in and removed from the anterior chamber. Histologic evaluation of the patient's cornea demonstrated an absence of corneal endothelium, suggesting the fragment was the etiology of the corneal decompensation.
authors.affiliation: rshoffman@finemd.com
authors.forename: Richard S
authors.initials: RS
authors.lastname: Hoffman
authors.forename: I Howard
authors.initials: IH
authors.lastname: Fine
authors.forename: Mark
authors.initials: M
authors.lastname: Packer
mesh_terms: D000368:Aged; D002452:Cell Count; D015715:Corneal Edema / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D020878:Device Removal; D004728:Endothelium, Corneal / Q000293:injuries* / Q000473:pathology; D005129:Eye Foreign Bodies / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005131:Eye Injuries / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D015948:Keratoplasty, Penetrating; D007910:Lenses, Intraocular; D008297:Male; D019591:Pseudophakia / Q000150:complications*; D012086:Reoperation; D012826:Silicone Elastomers
chemical_list: D012826:Silicone Elastomers