title: Opacification of the Intraocular Lens After Descemet Stripping Endothelial Keratoplasty.
abstract: OBJECTIVE
  To report the incidence of opacification of the intraocular lens (IOL) after Descemet stripping endothelial keratoplasty (DSEK) in an academic ophthalmology clinic.
  
  
  METHODS
  In this retrospective case series, all patients who underwent DSEK between 2003 and 2013 were included. In 2008, the first patient presented with reduced vision as a result of opacification of the IOL in our clinic. The period between DSEK surgery and diagnosis of IOL opacification, Snellen corrected distance visual acuity before and after the appearance of IOL opacification, IOL specifications, and incidence of IOL exchange were assessed.
  
  
  RESULTS
  A total of 160 eyes were operated on. Opacification was seen in 8 eyes (5%) and was diagnosed between 4 and 24 months after DSEK (mean, 9.6; SD, 6.3; range, 4-24 months). The mean Snellen corrected distance visual acuity was 0.6 (SD, 0.2; range, 0.2-0.8) before opacification and 0.3 (SD, 0.2; range, 0.02-0.6) after opacification of the IOL occurred. The IOL material was hydrophilic acrylic in all patients. In 4 eyes, IOL exchange was performed.
  
  
  CONCLUSIONS
  Opacification of the IOL can be a vision-threatening late complication after DSEK and was seen in 8 of 160 eyes.
authors: *Department of Ophthalmology, Academic Medical Center, Amsterdam, the Netherlands; and †John A. Moran Eye Center, University of Utah, Salt Lake City, UT.
authors: Carla P
authors: CP
authors: Nieuwendaal
authors: Ivanka J E
authors: IJ
authors: van der Meulen
authors: Eliza K
authors: EK
authors: Patryn
authors: Liliana
authors: L
authors: Werner
authors: Maarten P
authors: MP
authors: Mourits
authors: Ruth
authors: R
authors: Lapid-Gortzak
mesh_terms: D057111:Descemet Stripping Endothelial Keratoplasty / Q000009:adverse effects*; D005642:Fuchs' Endothelial Dystrophy / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D015994:Incidence; D007910:Lenses, Intraocular; D011183:Postoperative Complications; D011475:Prosthesis Failure / Q000209:etiology*; D019591:Pseudophakia / Q000503:physiopathology; D012189:Retrospective Studies; D014786:Vision Disorders / Q000209:etiology / Q000503:physiopathology; D014792:Visual Acuity / Q000502:physiology