title: Outcome of descemet stripping automated endothelial keratoplasty in patients with an anterior chamber intraocular lens.
abstract: OBJECTIVE
  To evaluate the outcome of Descemet stripping automated endothelial keratoplasty (DSAEK) in patients with a retained anterior chamber intraocular lens (ACIOL).
  
  
  METHODS
  A retrospective review of 11 patients with corneal decompensation and ACIOL who underwent DSAEK was performed. All patients except 1 had open-loop style ACIOLs, and in all cases, there was adequate anterior chamber depth. At the time of surgery, 6 patients had a temporary suture to secure their graft, 2 of which were retained from the insertion method, and the other 4 were placed additionally. Postoperatively, the rate of donor detachment, graft clarity, corneal pachymetry, and visual acuity were noted.
  
  
  RESULTS
  There was only 1 graft dislocation postoperatively, which was reattached successfully by air injection. There was 1 primary graft failure (without dislocation) among the 11 patients during the mean follow-up of 12 months (range: 6-25 months); at last follow-up, the visual acuity had improved in all the other 10 patients.
  
  
  CONCLUSIONS
  This series demonstrates that DSAEK can be performed successfully in patients with existing ACIOLs. These early outcomes suggest that DSAEK alone may be considered as an alternative to a lens exchange with DSAEK in patients with adequate anterior chamber depth.
authors.affiliation: Department of Ophthalmology and Visual Sciences, University of Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, IL 60612, USA.
authors.forename: Saba
authors.initials: S
authors.lastname: Elderkin
authors.forename: Elmer
authors.initials: E
authors.lastname: Tu
authors.forename: Joel
authors.initials: J
authors.lastname: Sugar
authors.forename: Satya
authors.initials: S
authors.lastname: Reddy
authors.forename: Arpita
authors.initials: A
authors.lastname: Kadakia
authors.forename: Rani
authors.initials: R
authors.lastname: Ramaswamy
authors.forename: Ali
authors.initials: A
authors.lastname: Djalilian
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000601:surgery*; D057111:Descemet Stripping Endothelial Keratoplasty / Q000009:adverse effects; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity