Endothelial keratoplasty in eyes with a retained angle-supported intraocular lens

PurposeTo describe the outcomes of endothelial keratoplasty (EK) for bullous keratopathy in eyes with a retained angle-supported anterior chamber intraocular lens (acIOL).MethodsAmong 263 consecutive EK procedures, 7 DMEK and 11 DSAEK procedures were identified in eyes with an acIOL and included in the present retrospective case series. Pre- and postoperative status including ocular history, anatomical outcome and complications as well as best-corrected visual acuity was evaluated.ResultsOcular history included complicated cataract surgery (n=11), ocular trauma (n=4) and primary intracapsular cataract extraction (n=3). Surgery-related complications included primary graft failure (n=1), graft detachment (n=1), endophthalmitis (n=1) and allograft rejection (n=1). A clear cornea at the final examination (144months) was observed in 14/18 (78%), while the visual outcome was limited due to significant ocular comorbidity in 9 out of 14 uncomplicated procedures.Conclusionp id=ParThe presented short-term outcomes suggest that both DMEK and DSAEK are feasible in eyes with an angle-supported acIOL yielding an acceptable graft survival rate in the first postoperative year.