title: DSAEK for implantable collamer lens dislocation and corneal decompensation 6 years after implantation.
abstract: A 39-year-old woman with a history of high myopia underwent uneventful implantation of phakic posterior chamber implantable collamer lenses (ICLs) 6 years earlier in both eyes with a visual acuity of 20/20 bilaterally. The patient presented as an emergency with sudden decreased vision in her right eye after blunt trauma. Slit-lamp examination showed a partially dislocated ICL in the anterior chamber, associated with ocular hypertension. It was decided to treat her with topical ocular hypotensive agents and surgical repositioning of the ICL. There was a progressive loss of endothelial cells and decreased visual acuity. Descemet stripping automated endothelial keratoplasty was needed to correct the endothelial failure. This case presents a potential complication of the ICL several years after implantation, and should be considered in these types of procedures.
authors: Department of Cornea and Refractive Surgery, Institute of Ophthalmology "Conde de Valenciana", Mexico City, Mexico.
authors: Zoraida
authors: Z
authors: Espinosa-Mattar
authors: Arturo
authors: A
authors: Gomez-Bastar
authors: Enrique O
authors: EO
authors: Graue-Hernández
authors: Alejandro
authors: A
authors: Navas
mesh_terms: D000328:Adult; D060437:Artificial Lens Implant Migration / Q000601:surgery*; D003316:Corneal Diseases / Q000601:surgery*; D057111:Descemet Stripping Endothelial Keratoplasty; D004728:Endothelium, Corneal / Q000601:surgery*; D005131:Eye Injuries / Q000150:complications; D005260:Female; D006801:Humans; D054120:Phakic Intraocular Lenses; D011183:Postoperative Complications; D011475:Prosthesis Failure; D014949:Wounds, Nonpenetrating / Q000150:complications