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Non-Descemet’s stripping automated endothelial keratoplasty for bullous keratopathy secondary to iridoschisis

Authors Minezaki T, Hattori T, Nakagawa H, Kumakura S, Goto H

Received 23 January 2013

Accepted for publication 20 March 2013

Published 3 July 2013 Volume 2013:7 Pages 1353—1355

DOI https://doi.org/10.2147/OPTH.S43180

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Teruumi Minezaki, Takaaki Hattori, Hayate Nakagawa, Shigeto Kumakura, Hiroshi Goto

Department of Ophthalmology, Tokyo Medical University, Shinjukuku, Tokyo, Japan

Purpose: To report a case of bullous keratopathy secondary to iridoschisis treated by non-Descemet's stripping automated endothelial keratoplasty (nDSAEK).
Case report: A 79-year-old woman was referred to our hospital with loss of vision in the left eye. Slit lamp examination of her left eye showed a shallow anterior chamber with cataract and schisis in the inferior quadrant of iris stroma. Bullous keratopathy secondary to iridoschisis was diagnosed. Cataract surgery with iridectomy succeeded to deepen the anterior chamber and remove the floating iris leaf, although corneal edema remained. Four days later, nDSAEK was performed, which resolved corneal edema and restored visual acuity.
Conclusion: The two-step surgery of cataract surgery plus iridectomy followed by nDSAEK may be an effective strategy for treating bullous keratopathy secondary to iridoschisis.

Keywords: iridoschisis, bullous keratopathy, non-Descemet's stripping automated endothelial keratoplasty

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