Opacification of hydrophilic intraocular lens (IOL) after endothelial keratoplasty is well known.[1,2,3,4,5] The use of hydrophobic or polymethylmethacrylate IOLs are recommended in such eyes. We present a case referred to us with extensively scared edematous cornea. She had a history of pseudophakic bullous keratopathy following her cataract surgery in an eye with narrow anterior chamber angles, for which she underwent Descemet's stripping automated endothelial keratoplasty (DSAEK) with one rebubbling procedure, and this was followed by severe microbial keratitis leading to extensive scarring and failure of DSAEK. There was no information on the type of the IOL used elsewhere in this eye [Fig. 1].
Figure 1.
(a) Two week following a successful penetrating keratoplasty showing clear cornea and opacified intraocular lens. (b) Magnified view of the surface opacification of the hydrophilic intraocular lens
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
References
- 1.Werner L, Wilbanks G, Ollerton A, Michelson J. Localized calcification of hydrophilic acrylic intraocular lenses in association with intracameral injection of gas. J Cataract Refract Surg. 2012;38:720–1. doi: 10.1016/j.jcrs.2012.01.012. [DOI] [PubMed] [Google Scholar]
- 2.Patryn E, van der Meulen IJ, Lapid-Gortzak R, Mourits M, Nieuwendaal CP. Intraocular lens opacifications in descemet stripping endothelial keratoplasty patients. Cornea. 2012;31:1189–92. doi: 10.1097/ICO.0b013e31823d1e12. [DOI] [PubMed] [Google Scholar]
- 3.Dhital A, Spalton DJ, Goyal S, Werner L. Calcification in hydrophilic intraocular lenses associated with injection of intraocular gas. Am J Ophthalmol. 2012;153:1154–600. doi: 10.1016/j.ajo.2011.11.017. [DOI] [PubMed] [Google Scholar]
- 4.Neuhann IM, Neuhann TF, Rohrbach JM. Intraocular lens calcification after keratoplasty. Cornea. 2013;32:e6–10. doi: 10.1097/ICO.0b013e31826150de. [DOI] [PubMed] [Google Scholar]
- 5.Fellman MA, Werner L, Liu ET, Stallings S, Floyd AM, van der Meulen IJ, et al. Calcification of a hydrophilic acrylic intraocular lens after descemet-stripping endothelial keratoplasty: Case report and laboratory analyses. J Cataract Refract Surg. 2013;39:799–803. doi: 10.1016/j.jcrs.2013.01.028. [DOI] [PubMed] [Google Scholar]