Abstract

Study design: Case Report
Purpose: This report describes a case of Pseudophakic Bullous Keratopathy (PBK) secondary to broken ACIOL implantation
Methods: Slit lamp evaluation, DSAEK

Results: A patient came with history of both eye cataract surgery done 10 years ago. Patient complains of pain and diminution of vision in left eye for 6 months. On examination, there was corneal oedema, corneal deep vascularization in two quadrants, central corneal scarring, peripheral iridectomy and broken ACIOL in the left eye and intact ACIOL in the right eye. Then, patient was posted for DSAEK with ACIOL explantation with SFIOL implantation with intracameral SF6 in left eye. Intraoperatively at 4-5 quadrants nasal iridectomy was noted. On first post-operative day, graft detachment with subsequent attachment of graft after continuous supine position for 3 hours was seen.

Conclusion: This case report emphasizes value of managing corneal decompensation to prevent further complications & loss of vision