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January 1982

Descemetocele After Intraocular Lens Implantation

Author Affiliations
From the Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine.
Arch Ophthalmol. 1982;100(1):72-76. doi:10.1001/archopht.1982.01030030074004

• A persistent central corneal epithelial defect progressing rapidly by stromal ulceration to descemetocele formation was observed in five elderly patients soon after cataract surgery with intraocular lens implantation. The ulceration occurred in the absence of active inflammation or infection in otherwise clear cornea. Topically applied artificial tears, antibiotics, and corticosteroids failed to control the ulceration, although bandage soft contact lens therapy and conjunctival flap helped stabilize the cornea in one case each. Spontaneous perforation in two cases necessitated penetrating keratoplasty.