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- Title
Descemet membrane endothelial keratoplasty in a patient with iris-fixated intraocular lens and prior radial keratotomy: a case report.
- Authors
Annadanam, Anvesh; Soeken, Timothy; Shah, Manjool; Nallasamy, Nambi
- Abstract
Background: Anterior segment surgeries such as cataract surgery, intraocular lens (IOL) repositioning, and radial keratotomy (RK) may hasten endothelial dysfunction, particularly in the context of pre-existing Fuchs dystrophy, necessitating future corneal transplantation. Case presentation: A 68-year-old woman with a history of RK with associated irregular astigmatism in both eyes and iris-fixated intraocular lens (IF-IOL) in the left eye presented with six months of decreased vision in the left eye. She was found to have Fuchs dystrophy and underwent DMEK surgery. She had an uncomplicated postoperative course, with uncorrected visual acuity improving to 20/20 three months after surgery. Conclusion: To our knowledge, this is the first reported case of a highly successful DMEK surgery in a patient with prior RK and IF-IOL.
- Subjects
DESCEMET membrane endothelial keratoplasty; INTRAOCULAR lenses; CORNEAL transplantation; IRIS (Eye) diseases; ENDOTHELIUM diseases; CATARACT surgery; VISUAL acuity
- Publication
BMC Ophthalmology, 2021, Vol 21, Issue 1, p1
- ISSN
1471-2415
- Publication type
Case Study
- DOI
10.1186/s12886-021-02103-1