Phakic intraocular lens as a temporary barrier in aphakic Descemet's membrane endothelial keratoplasty

被引:7
作者
Shweikh, Yusrah [1 ]
Vasquez-Perez, Alfonso [1 ]
Allan, Bruce D. [1 ]
机构
[1] Moorfields Eye Hosp, London EC1V 2PD, England
关键词
Endothelial keratoplasty; aphakia; Descemet's membrane endothelial keratoplasty; phakic intraocular lens; REJECTION-EPISODES; ANTERIOR SEGMENT; RISK;
D O I
10.1177/1120672118811743
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Background: Descemet's membrane endothelial keratoplasty has a lower risk of endothelial rejection than Descemet's stripping automated endothelial keratoplasty. In aphakic eyes requiring endothelial transplantation, approaches aimed at reducing the risk of posterior graft dislocation in Descemet's stripping automated endothelial keratoplasty are not transferable to Descemet's membrane endothelial keratoplasty. Technique: Here we describe the use of an implantable collamer lens placed over the iris to provide a temporary intraoperative platform, to facilitate graft unfolding and to avoid posterior graft dislocation in an aphakic, vitrectomised eye with a fixed, dilated pupil in a young patient with chronic uveitis and previous failed Descemet's stripping automated endothelial keratoplasty.
引用
收藏
页码:566 / 570
页数:5
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