Epithelial cell proliferation on anterior surface of intraocular lens after Descemet stripping automated endothelial keratoplasty (DSAEK) surgery: a case report - Scorecard - MDSpire

Epithelial cell proliferation on anterior surface of intraocular lens after Descemet stripping automated endothelial keratoplasty (DSAEK) surgery: a case report

  • By

  • Ali Zare

  • Mozhgan Rezaei Kanavi

  • Sepehr Feizi

  • Fariba Pirsarabi

  • Faezeh Tajari

  • June 17, 2026

  • 0 min

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Clinical Scorecard: Proliferation of Epithelial Cells on the Anterior Surface of Intraocular Lenses Following Descemet Stripping Automated Endothelial Keratoplasty: A Case Study

At a Glance

CategoryDetail
Condition
Key MechanismsEpithelial cell proliferation on IOL surface.
Target Population
Care Setting

Key Highlights

  • IOL opacification can lead to glare, reduced contrast sensitivity, and decreased visual acuity.
  • Primary opacification is due to manufacturing defects; secondary opacification is due to environmental factors.
  • Commonly associated with DSAEK, diabetes, and other ocular conditions.
  • Histopathological findings confirm epithelial-like cellular imprints on IOL surface.

Guideline-Based Recommendations

Diagnosis

  • Clinical examination and slit-lamp evaluation to identify opacities on IOL.

Management

  • Surgical polishing of IOL surface or explantation if conservative measures fail.

Monitoring & Follow-up

  • Regular follow-up for visual acuity and slit-lamp examination post-surgery.

Risks

  • Increased risk of opacification with use of SF6 gas and repeated intracameral air injections.

Patient & Prescribing Data

Patients with a history of cataract surgery and DSAEK.

Clinical Best Practices

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