Unveiling opacification of intraocular lens following a successful penetrating keratoplasty for extensively scarred cornea due to microbial keratitis after Descemet's stripping automated endothelial keratoplasty.

Opacification of hydrophilic intraocular lens (IOL) after endothelial keratoplasty is well known.[12345] The use of hydrophobic or polymethylmethacrylate IOLs are recommended in such eyes. We present a case referred to us with extensively scared edematous cornea. She had a history of pseudophakic bullous keratopathy following her cataract surgery in an eye with narrow anterior chamber angles, for which she underwent Descemet's stripping automated endothelial keratoplasty (DSAEK) with one rebubbling procedure, and this was followed by severe microbial keratitis leading to extensive scarring and failure of DSAEK. There was no information on the type of the IOL used elsewhere in this eye [Fig. 1].

Figure 1

(a) Two week following a successful penetrating keratoplasty showing clear cornea and opacified intraocular lens. (b) Magnified view of the surface opacification of the hydrophilic intraocular lens

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