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Case Reports in Ophthalmological Medicine
Volume 2012 (2012), Article ID 982657, 4 pages
http://dx.doi.org/10.1155/2012/982657
Case Report

Descemet’s Stripping-Automated Endothelial Keratoplasty for Traumatic Aniridia and Aphakia

Cornea and Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh 11462, Saudi Arabia

Received 20 November 2011; Accepted 30 January 2012

Academic Editor: N. Fuse

Copyright © 2012 Sabah S. Jastaneiah. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This Interventional case reports a challenging case of descemet’s stripping-automated endothelial keratoplasty (DSAEK) in a young male patient with traumatic aniridia, aphakia, and corneal edema. Surgery was planned in two stages; first was implantation of aniridia intraocular lens (AIOL), few months later, DSAEK procedure was performed. Successful outcome of both procedures was achieved as measured by the stability of the AIOL, clarity of the cornea, attachment of the lenticule, and improvement in vision. Aniridia implant supports a sufficient amount of air in the anterior chamber especially if the posterior segment is well formed, while providing the required lens power to improve vision. DSAEK procedure challenges that include iris defects and aphakia may be overcome by stepwise planning of the procedure.