Late-onset bullous keratopathy after iris-fixated phakic intraocular lens implantation: a case report - Takeaways - MDSpire

Late-onset bullous keratopathy after iris-fixated phakic intraocular lens implantation: a case report

  • By

  • Salmaan Ferrand

  • Anna Bogdanova-Bennett

  • Daniel T. Cornelius

  • Rashida Abbas Ferrand

  • June 2, 2026

  • 0 min

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  • 1

    Anterior chamber phakic intraocular lenses (AC pIOLs) are used to correct ametropia while preserving the patient's natural lenses.

  • 2

    Bullous keratopathy can occur as a late complication of AC pIOL implantation, requiring surgical intervention such as keratoplasty.

  • 3

    Endothelial cell loss is a recognized complication of AC pIOLs, potentially leading to serious conditions like bullous keratopathy.

  • 4

    The patient's shallow anterior chamber depth may have contributed to the corneal endothelial damage observed after AC pIOL implantation.

  • 5

    The case highlights the importance of monitoring endothelial cell density in patients with AC pIOLs to prevent complications.

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