Intraocular lens opacification after corneal endothelial keratoplasty: Electron microscopy and x-ray element spectroscopy analysis
dc.contributor.author | Park, JC | |
dc.contributor.author | Habib, NE | |
dc.contributor.author | Moate, RM | |
dc.date.accessioned | 2016-09-15T22:41:38Z | |
dc.date.available | 2016-09-15T22:41:38Z | |
dc.date.issued | 2015-01 | |
dc.identifier.issn | 0886-3350 | |
dc.identifier.issn | 1873-4502 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/5451 | |
dc.description.abstract |
PURPOSE: To assess a newly recognized long-term complication of Descemet-stripping automated endothelial keratoplasty (DSAEK). SETTING: Plymouth Royal Eye Infirmary and Plymouth Electron Microscope Centre, Plymouth, United Kingdom. DESIGN: Retrospective case series. METHODS: This study evaluated cases of intraocular lens (IOL) opacification that developed after uneventful DSAEK. None of the IOLs was previously known to opacify. In 1 case, the opacified IOL was explanted and analyzed using detailed light microscopy, scanning electron microscopic (SEM) analysis, and element x-ray spectroscopy. RESULTS: In all 5 cases, the IOL was hydrophilic acrylic and the eye developed IOL anterior surface opacification 4 to 12 months after DSAEK. In 1 eye, the opacification was symptomatic; thus, an IOL exchange was performed. Light microscopy and SEM analysis of the explanted IOL confirmed opacification on the anterior surface and subsurface areas. X-ray element spectroscopy showed the granules were composed of calcium and phosphorous. CONCLUSIONS: These cases indicate that IOL opacification after DSAEK is a late, although newly recognized, complication of endothelial keratoplasty. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned. | |
dc.format.extent | 140-145 | |
dc.format.medium | ||
dc.language | en | |
dc.language.iso | eng | |
dc.publisher | Ovid Technologies (Wolters Kluwer Health) | |
dc.subject | Aged | |
dc.subject | Aged, 80 and over | |
dc.subject | Calcium | |
dc.subject | Descemet Stripping Endothelial Keratoplasty | |
dc.subject | Device Removal | |
dc.subject | Electron Probe Microanalysis | |
dc.subject | Female | |
dc.subject | Humans | |
dc.subject | Lens Implantation, Intraocular | |
dc.subject | Lenses, Intraocular | |
dc.subject | Male | |
dc.subject | Microscopy, Electron, Scanning | |
dc.subject | Middle Aged | |
dc.subject | Phacoemulsification | |
dc.subject | Phosphorus | |
dc.subject | Prosthesis Failure | |
dc.subject | Retrospective Studies | |
dc.title | Intraocular lens opacification after corneal endothelial keratoplasty: Electron microscopy and x-ray element spectroscopy analysis | |
dc.type | journal-article | |
dc.type | Case Reports | |
dc.type | Journal Article | |
plymouth.author-url | https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000347671300022&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008 | |
plymouth.issue | 1 | |
plymouth.volume | 41 | |
plymouth.publication-status | Published | |
plymouth.journal | Journal of Cataract and Refractive Surgery | |
dc.identifier.doi | 10.1016/j.jcrs.2014.05.035 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/Users by role | |
dc.publisher.place | United States | |
dcterms.dateAccepted | 2014-05-05 | |
dc.identifier.eissn | 1873-4502 | |
dc.rights.embargoperiod | Not known | |
rioxxterms.versionofrecord | 10.1016/j.jcrs.2014.05.035 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2015-01 | |
rioxxterms.type | Journal Article/Review |