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dc.contributor.authorPark, JC
dc.contributor.authorHabib, NE
dc.contributor.authorMoate, RM
dc.date.accessioned2016-09-15T22:41:38Z
dc.date.available2016-09-15T22:41:38Z
dc.date.issued2015-01
dc.identifier.issn0886-3350
dc.identifier.issn1873-4502
dc.identifier.urihttp://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.extent140-145
dc.format.mediumPrint
dc.languageen
dc.language.isoeng
dc.publisherOvid Technologies (Wolters Kluwer Health)
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectCalcium
dc.subjectDescemet Stripping Endothelial Keratoplasty
dc.subjectDevice Removal
dc.subjectElectron Probe Microanalysis
dc.subjectFemale
dc.subjectHumans
dc.subjectLens Implantation, Intraocular
dc.subjectLenses, Intraocular
dc.subjectMale
dc.subjectMicroscopy, Electron, Scanning
dc.subjectMiddle Aged
dc.subjectPhacoemulsification
dc.subjectPhosphorus
dc.subjectProsthesis Failure
dc.subjectRetrospective Studies
dc.titleIntraocular lens opacification after corneal endothelial keratoplasty: Electron microscopy and x-ray element spectroscopy analysis
dc.typejournal-article
dc.typeCase Reports
dc.typeJournal Article
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000347671300022&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue1
plymouth.volume41
plymouth.publication-statusPublished
plymouth.journalJournal of Cataract and Refractive Surgery
dc.identifier.doi10.1016/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.placeUnited States
dcterms.dateAccepted2014-05-05
dc.identifier.eissn1873-4502
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1016/j.jcrs.2014.05.035
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2015-01
rioxxterms.typeJournal Article/Review


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