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  • Corneal oedema with in situ implantable collamer lens: a challenging scenario for descemet membrane endothelial keratoplasty

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Case report
Corneal oedema with in situ implantable collamer lens: a challenging scenario for descemet membrane endothelial keratoplasty
  1. Vineet Pramod Joshi1 and
  2. Pravin Krishna Vaddavalli2
  1. 1Cornea & Anterior Segment Services, LV Prasad Eye Institute, Hyderabad, India
  2. 2Cornea Service, LV Prasad Eye Institute, Hyderabad, Andhra Pradesh, India
  1. Correspondence to Dr Vineet Pramod Joshi; vinty.j{at}gmail.com

Abstract

A 27-year-old woman had foggy vision and photophobia since 10 months after implantation of implantable collamer lens (ICL STAAR Surgical AG, Nidau, Switzerland) with evidence of corneal decompensation and no cataract formation. Descemet membrane endothelial keratoplasty in phakic eyes is challenging, considering presence of posterior chamber phakic intraocular lens (IOL), decreasing the space available in anterior chamber to manoeuvre the graft. Need of inferior peripheral iridotomy in presence of central hole technology in ICL depends on the dynamics of full chamber air bubble. At 8 months, vision had improved to 20/20 and normal IOP with well-attached graft, stable phakic IOL and clear lens.

  • anterior chamber
  • pupil

https://doi.org/10.1136/bcr-2020-240709

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    Footnotes

    • Twitter @pravinkrishna

    • Contributors Following authors have contributed in the various aspects to complete this work of clinical research. VPJ: design, literature search, data acquisition, data analysis, manuscript preparation and manuscript editing. PKV: concept, definition of intellectual content, clinical study, manuscript review and guarantor.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.