Endothelial Keratoplasty in the Setting of a Dislocated Intraocular Lens (IOL)

  • Paul M. Phillips
  • Vipul C. Shah
  • Valliammai Muthuappan


Endothelial keratoplasty (EK) has surpassed penetrating keratoplasty (PK) as the surgical standard of care for patients with endothelial failure. Worldwide, the most common indication for EK is Fuchs endothelial dystrophy (FED). The second most common is “post-cataract edema,” often referred to as pseudophakic bullous keratopathy (PBK), which accounts for over 8,000 transplants performed for endothelial failure a year in the United States [1]. While classically the term PBK indicates damage of the endothelium as a direct result of a poorly positioned or dislocated intraocular lens (IOL), the term is now often used in any pseudophakic patient with corneal decompensation. Regardless of the terminology, the corneal surgeon is likely to encounter patients with dislocated lenses who also require corneal transplantation.


Anterior Chamber Cystoid Macular Edema Posterior Chamber Penetrate Keratoplasty Scleral Flap 

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Copyright information

© Springer India 2016

Authors and Affiliations

  • Paul M. Phillips
    • 1
  • Vipul C. Shah
    • 2
  • Valliammai Muthuappan
    • 1
  1. 1.Department of OphthalmologySightline Ophthalmic AssociatesSewicklyUSA
  2. 2.Department of OphthalmologyCharlotte Eye Ear Nose & Throat Associates, PACharlotteUSA

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