title: Cataract surgery after Descemet stripping endothelial keratoplasty.
abstract: Management of endothelial dysfunction in phakic patients is sometimes a dilemma for corneal surgeons. Phakic patients with visually significant cataract and endothelial dysfunction are preferably managed by performing combined cataract surgery with endothelial keratoplasty. However, combined surgery may be deferred in eyes with early incipient cataract, younger age and where anterior chamber is poorly visualized. As cataract formation may be accelerated after endothelial keratoplasty, these eyes may need cataract surgery subsequently. Surgical intervention in eyes with endothelial keratoplasty is of concern as this may affect the graft adversely and threaten graft survival. In this report, we describe the intraoperative surgical details and postoperative clinical course of a patient who underwent phacoemulsification with intraocular lens implantation after Descemet stripping automated endothelial keratoplasty (DSAEK).
authors.affiliation: Cornea and Anterior Segment Services, LV Prasad Eye Institute, Hyderabad, India.
authors.forename: Sunita
authors.initials: S
authors.lastname: Chaurasia
authors.forename: Muralidhar
authors.initials: M
authors.lastname: Ramappa
authors.forename: Virender
authors.initials: V
authors.lastname: Sangwan
mesh_terms: D000328:Adult; D002386:Cataract / Q000209:etiology*; D002387:Cataract Extraction / Q000379:methods*; D003316:Corneal Diseases / Q000601:surgery*; D057111:Descemet Stripping Endothelial Keratoplasty / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D014792:Visual Acuity