Concurrent Pars Plana Vitrectomy and DSAEK to Manage Pseudophakic Bullous Keratopathy and Intraocular Lens Dislocation: A Case Report

Abstract

This report describe the anatomical and visual outcomes of concurrent pars planavitrectomy (PPV) and Descemet stripping automated endothelial keratoplasty (DSAEK) for the management of a case with pseudophakic bullous keratopathy (PBK) and intraocular lens (IOL) dislocation following complicated phacoemulsification surgery. A 72-year-old woman was referred to our clinic 7 days after complicated phacoemulsification surgery. Severe corneal edema and IOL dislocation into the vitreous cavity was noticed on examination. After 2 months of conservative treatment, corneal edema remained persistent, so concurrent 23-gauge PPV, DSAEK and iris supported IOL implantation were performed in the single surgical procedure. One year after operation, the cornea was clear, retina was attached and best corrected visual acuity was 20/32. This report showed that concurrent PPV and DSAEK may be safe and effective option for the management of severely complicated Phacoemulsification surgery with PBK and IOL dislocation into the vitreous cavity.