DR. JAYA KAUSHIK

DR.(MAJ) SHANKAR SANDEEP, DR. ANKITA SINGH, DR. AANCHAL SINGHAL

Abstract

Purpose: To report a case of Bilateral pseudophakic bullous keratopathy in a patient of

Bilateral microcornea with pre-existing ACIOL who underwent Descemet Stripping Endothelial Keratoplasty (DSEK) with a successful postoperative visual outcome. A 36-year-old female, diagnosed with microcornea and congenital cataract both eyes underwent lens aspiration sequentially followed by ACIOL implantation in both the eyes. Patient reported to our center and was diagnosed as a case of Bilateral Pseudophakic Bullous Keratopathy (PBK) with ACIOL with microcornea. Patient underwent manual DSEK under local anesthesia in both eyes sequentially with a good visual recovery post operatively. Conclusion: DSAEK (Descemet Stripping Automated Endothelial Keratoplasty)/DSEK seems a viable option in patients with microcornea who develop pseudophakic bullous keratopathy following cataract surgery with retained ACIOL where there is absence of capsular support as well as deficiency of iris tissue.