nach oben

Graefe's Archive for Clinical and Experimental Ophthalmology

Erschienen in:

18.09.2020 | Cornea

Descemet membrane endothelial keratoplasty for corneal decompensation caused by a phakic anterior chamber intraocular lens implantation

verfasst von: Ting Huang, Jing Wu, Xiaojuan Dong, Jianping Ji, Chen Ouyang, Lijie Xie, Chao Hou

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 12/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To describe the clinical outcomes of Descemet membrane endothelial keratoplasty combined with phacoemulsification/posterior chamber intraocular lens implantation (triple procedure) for treatment of corneal decompensation induced by a phakic anterior chamber intraocular lens (AC IOL) implantation.

Methods

Ten patients (10 eyes) with corneal decompensation due to phakic AC IOL implantation that had undergone the triple procedure were included in this study. Among the 10 eyes, 5 eyes underwent explantation of AC IOL prior to the transplantation, and then underwent the triple procedure. The remaining 5 eyes with a phakic AC IOL in situ underwent the triple procedure with concurrent explantation of AC IOL. Corrected distance visual acuity (CDVA), subjective refraction, endothelial cell density (ECD), and complications were documented.

Results

The triple procedure was performed across all eyes without any adverse events. The average CDVA improved from 1.32 ± 0.24 preoperatively to 0.15 ± 0.05 logarithm of the minimum angle of resolution (logMAR), which represents an improvement in Snellen equivalent from 20/400 (0.05) preoperatively to 20/28 (0.71) at 12 months after surgery. At 12 months, all eyes reached a CDVA of 20/32 (0.63) or better, and 50% of eyes reached a CDVA of 20/25 (0.8) or better. The mean donor ECD±SD was 2868.7 ± 67.9 cells/mm², which decreased to 1724.1 ± 84.6 cells/mm² at 12 months, representing 39.9% of endothelial cell loss. Patients did not experience any severe adverse events.

Conclusion

The triple procedure is a safe and effective option for corneal decompensation induced by a phakic AC IOL implantation, helping achieve a satisfactory visual rehabilitation with few complications.

Huang D, Schallhorn SC, Sugar A, Farjo AA, Majmudar PA, Trattler WB, Tanzer DJ (2009) Phakic intraocular lens implantation for the correction of myopia: a report by the American Academy of Ophthalmology. Ophthalmology 116:2244–2258CrossRef

Dick HB, Budo C, Malecaze F, Güell JL, Marinho AA, Nuijts RM, Luyten GP, Menezo JL, Kohnen T (2009) Foldable Artiflex phakic intraocular lens for the correction of myopia: two-year follow-up results of a prospective European multicenter study. Ophthalmology 116:671–677CrossRef

Alio JL, Peña-García P, Pachkoria K, Alio JL, EI Aswad A (2013) Intraocular optical quality of phakic intraocular lenses: comparison of angle-supported, iris-fixated, and posterior chamber lenses. Am J Ophthalmol 156:789–799CrossRef

Guerra MG, Silva AMM, Marques SHM, Melo SH, Póvoa JA, Lobo C, Murta JN (2017) Phakic intraocular lens implantation: refractive outcome and safety in patients with anterior chamber depth between 2.8 and 3.0 versus ≥3.0 mm. Ophthalmic Res 57:239–246CrossRef

Pechméja J, Guinguet J, Colin J, Binder PS (2012) Severe endothelial cell loss with anterior chamber phakic intraocular lenses. J Cataract Refract Surg 38:1288–1292CrossRef

Bouheraoua N, Bonnet C, Labbé A, Sandali O, Lecuen N, Ameline B, Borderie V, Laroche L (2015) Iris-fixated phakic intraocular lens implantation to correct myopia and a predictive model of endothelial cell loss. J Cataract Refract Surg 41:2450–2457CrossRef

Shajari M, Scheffel M, Koss MJ, Kohnen T (2016) Dependency of endothelial cell loss on anterior chamber depth within first 4 years after implantation of iris-supported phakic intraocular lenses to treat high myopia. J Cataract Refract Surg 42:1562–1569CrossRef

Jonker SMR, Berendschot TTJM, Ronden AE, Saelens IEY, Bauer NJC, Nuijts RMMA (2018) Five year endothelial cell loss after implantation with Artiflex myopia and Artiflex toric phakic intraocular lenses. Am J Ophthalmol 194:110–119CrossRef

Kohnen T, LaFontaine L, Andrew R (2017) Long–term safety follow-up of an anterior chamber angle-supported phakic intraocular lens. J Cataract Refract Surg 43:1163–1170CrossRef

10.

Kim M, Kim JK, Lee HK (2008) Corneal endothelial decompensation after iris-claw phakic intraocular lens implantation. J Cataract Refract Surg 34:517–519CrossRef

11.

Sikder S, Patel V, Holz HA, Mifflin MD, Davis S, Moshirfar M (2011) Management of corneal endothelial decompensation caused by iris-fixated phakic intraocular lenses with Descemet stripping automated endothelial keratoplasty. Cornea 30:1045–1047CrossRef

12.

Liarakos VS, Ham L, Dapena I, Tong CM, Quilendrino R, Yeh RY, Melles GR (2013) Endothelial keratoplasty for bullous keratopathy in eyes with an anterior chamber intraocular lens. J Cataract Refract Surg 39:1835–1845CrossRef

13.

Tannan A, Vo RC, Chen JL, Yu F, Deng SX, Aldave AJ (2015) Comparison of ACIOL retention with IOL exchange in patients undergoing Descemet stripping automated endothelial keratoplasty. Cornea 34:1030–1034CrossRef

14.

Wylegala E, Tarnawska D (2008) Management of pseudophakic bullous keratopathy by combined Descemet stripping endothelial keratoplasty and intraocular lens exchange. J Cataract Refract Surg 34:1708–1714CrossRef

15.

Sáles CS, Terry MA, Veldman PB, Mayko ZM, Straiko MD (2016) Relationship between tissue unscrolling time and endothelial cell loss. Cornea 35:471–476CrossRef

16.

Hamzaoglu EC, Straiko MD, Mayko ZM, Sáles CS, Terry MA (2015) The first 100 eyes of standardized Descemet stripping automated endothelial keratoplasty versus standardized Descemet membrane endothelial keratoplasty. Ophthalmology 122:2193–2199CrossRef

17.

Terry MA, Straiko MD, Veldman PB, Talajic JC, VanZyl C, Sales CS, Mayko ZM (2015) Standardized DMEK technique: reducing complications using prestripped tissue, novel glass injector, and sulfur hexafluoride (SF6) gas. Cornea 34:845–852CrossRef

18.

Schlögl A, Tourtas T, Kruse FE, Weller JM (2016) Long-term clinical outcome after Descemet membrane endothelial keratoplasty. Am J Ophthalmol 169:218–226CrossRef

19.

Coullet J, Mahieu L, Malecaze F, Fournié P, Leparmentier A, Moalic S, Arne JL (2007) Severe endothelial cell loss following uneventful angle-supported phakic intraocular lens implantation for high myopia. J Cataract Refract Surg 33:1477–1481CrossRef

20.

Saxena R, Boekhoom SS, Mulder PGH, Noordzij B, van Rij G, Luyten GP (2008) Long-term follow-up of endothelial cell change after Artisan phakic intraocular lens implantation. Ophthalmology 115:608–613CrossRef

21.

Coli A, Price FW, Whitson WE (1993) Intraocular lens exchange for anterior chamber intraocular lens-induced corneal endothelial damage. Ophthalmology 100:384–393CrossRef

22.

Fernandez-Vega L, Alfonso JF, Villacampa T (2003) Clear lens extraction for the correction of high myopia. Ophthalmology 110:2349–2354CrossRef

23.

Pucci V, Morselli S, Romanelli F, Pignatto S, Scandellari F, Bellucci R (2001) Clear lens phacoemulsification for correction of high myopia. J Cataract Refract Surg 27:896–900CrossRef

24.

Arne JL (2004) Phakic intraocular lens implantation versus clear lens extraction in highly myopic eyes of 30- to 50-year-old patients. J Cataract Refract Surg 30:2092–2096CrossRef

25.

Horgan N, Condon PI, Beatty S (2005) Refractive lens exchange in high myopia: long term follow up. Br J Ophthalmol 89:670–672CrossRef

26.

Colin J, Robinet A, Cochener B (1999) Retinal detachment after clear lens extraction for high myopia. Ophthalmology 106:2281–2285CrossRef

27.

Hole HA, Meyer JJ, Espandar L, Tabin GC, Mifflin MD, Moshirfar M (2008) Corneal profile analysis after Descemet stripping endothelial keratoplasty and its relationship to postoperative hyperopic shift. J Cataract Refract Surg 34:211–214CrossRef

Titel: Descemet membrane endothelial keratoplasty for corneal decompensation caused by a phakic anterior chamber intraocular lens implantation
verfasst von: Ting Huang
Jing Wu
Xiaojuan Dong
Jianping Ji
Chen Ouyang
Lijie Xie
Chao Hou
Publikationsdatum: 18.09.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 12/2020
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-020-04928-w

Neu im Fachgebiet Augenheilkunde

08.04.2024 | Therapieverfahren in der Augenheilkunde | CME

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Descemet membrane endothelial keratoplasty for corneal decompensation caused by a phakic anterior chamber intraocular lens implantation

Abstract

Purpose

Methods

Results

Conclusion

Neu im Fachgebiet Augenheilkunde

Ophthalmika in der Schwangerschaft

Operative Therapie und Keimnachweis bei endogener Endophthalmitis

Bakterielle endogene Endophthalmitis

So erreichen Sie eine bestmögliche Wundheilung der Kornea

Update Augenheilkunde

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 12/2020

Evaluating amblyopia during the era of COVID-19

Comparison of a second-generation trabecular bypass (iStent inject) to ab interno trabeculectomy (Trabectome) by exact matching

Slit-lamp evaluation during SARS-CoV-2 pandemic: safety first!

Analysis of clinical features of RPE adenoma

Short-term outcomes of patients with neovascular exudative AMD: the effect of COVID-19 pandemic

Pandemics, climate change, and the eye

Neu im Fachgebiet Augenheilkunde

Ophthalmika in der Schwangerschaft

Operative Therapie und Keimnachweis bei endogener Endophthalmitis

Bakterielle endogene Endophthalmitis

So erreichen Sie eine bestmögliche Wundheilung der Kornea

Update Augenheilkunde