title: Simultaneous bilensectomy and endothelial keratoplasty for angle-supported phakic intraocular lens-induced corneal decompensation.
abstract: A 40-year-old lady presented with severe endothelial cell loss in both eyes 14 years after angle-supported phakic intraocular lens (AS PIOL) implantation. The left eye had severe corneal edema with bullous keratopathy. The right eye had markedly reduced endothelial cell count (655 cells/mm 2 ) although the cornea was clear. She underwent simultaneous bilensectomy (AS PIOL explantation and phacoemulsification) and Descemet's stripping and endothelial keratoplasty (DSEK) in the left eye. Explanted AS PIOL was identified as ZSAL-4 (Morcher, Stuttgart, Germany) model. Corneal edema cleared completely in 2 months with a best corrected visual acuity (-2.25 D sph) of 20/60. No intervention was done in the right eye. The present case illustrates that AS PIOL-induced endothelial decompensation can be effectively managed by simultaneous bilensectomy and endothelial keratoplasty.
authors.affiliation: Department of Cornea and Anterior Segment Services, Sanjivni Eye Care, Ambala, Haryana, India. vikas_mittal@hotmail.com
authors.forename: Vikas
authors.initials: V
authors.lastname: Mittal
authors.forename: Ruchi
authors.initials: R
authors.lastname: Mittal
authors.forename: Daljit
authors.initials: D
authors.lastname: Singh
mesh_terms: D000328:Adult; D001768:Blister / Q000209:etiology / Q000601:surgery; D003316:Corneal Diseases / Q000209:etiology* / Q000601:surgery; D015715:Corneal Edema / Q000209:etiology / Q000601:surgery; D057111:Descemet Stripping Endothelial Keratoplasty; D005260:Female; D006801:Humans; D007908:Lens, Crystalline / Q000601:surgery*; D018918:Phacoemulsification; D054120:Phakic Intraocular Lenses / Q000009:adverse effects*; D011184:Postoperative Period; D013997:Time Factors; D014792:Visual Acuity