Department of Ophthalmology, Villa Serena Hospital, Via Del Camaldolino, Forlĺ, Italy.
Cornea. 2010 Feb;29(2):207-9. doi: 10.1097/ICO.0b013e3181a1669e.
To report a case of intraocular lens (IOL) exchange performed 1 week after Descemet stripping automated endothelial keratoplasty (DSAEK).
Describe the clinical findings and outcome of IOL exchange in an 80-year-old man with pseudophakic bullous keratopathy and retained Artisan (Ophtec BV, Groningen, the Netherlands) iris-fixated IOL after uneventful DSAEK.
The patient presented on the third postoperative day after DSAEK with disenclavation of the nasal iris claw and inferior dislocation of the IOL. The dislocated IOL was removed and exchanged with an angle-supported open-loop anterior chamber lens 7 days after the initial DSAEK procedure.
Despite the relatively traumatic intraocular manipulation, the donor tissue was unaffected in its position and clarity. This case demonstrates that successful DSAEK surgery is compatible with additional surgical procedures, even if they are performed in the early postoperative period.
报告 1 例在 Descemet 撕囊全自动内皮角膜移植术（DSAEK）后 1 周行人工晶状体（IOL）置换的病例。
描述 1 例 80 岁男性患者的临床发现和结局，该患者在无并发症的 DSAEK 后患有假性囊泡性大疱性角膜病变和残留的 Artisan（Ophtec BV，荷兰格罗宁根）虹膜固定型 IOL。
患者在 DSAEK 后第 3 天出现鼻侧虹膜爪分离和 IOL 下脱位。在初始 DSAEK 术后 7 天行脱位 IOL 取出并更换为角支撑开环前房晶状体。
尽管进行了相对创伤性的眼内操作，但供体组织的位置和清晰度没有受到影响。该病例表明，成功的 DSAEK 手术可与其他手术同时进行，即使这些手术是在术后早期进行的。
