Mittal, VikasMittal, RuchiSingh, Daljit2011-12-302011-12-302011-07Mittal Vikas, Mittal Ruchi, Singh Daljit. Simultaneous bilensectomy and endothelial keratoplasty for angle-supported phakic intraocular lens-induced corneal decompensation. Indian Journal of Ophthalmology. 2011 July; 59(4): 314-317.http://imsear.searo.who.int/handle/123456789/136199A 40-year-old lady presented with severe endothelial cell loss in both eyes 14 years after angle-supported phakic intraocular lens (AS PIOL) implantation. The left eye had severe corneal edema with bullous keratopathy. The right eye had markedly reduced endothelial cell count (655 cells/mm2) although the cornea was clear. She underwent simultaneous bilensectomy (AS PIOL explantation and phacoemulsification) and Descemet's stripping and endothelial keratoplasty (DSEK) in the left eye. Explanted AS PIOL was identified as ZSAL-4 (Morcher, Stuttgart, Germany) model. Corneal edema cleared completely in 2 months with a best corrected visual acuity (-2.25 D sph) of 20/60. No intervention was done in the right eye. The present case illustrates that AS PIOL-induced endothelial decompensation can be effectively managed by simultaneous bilensectomy and endothelial keratoplasty.enEndothelial cell lossendothelial keratoplastyphakic phakic intraocular lensAdultBlister --etiologyBlister --surgeryCorneal Diseases --etiologyCorneal Diseases --surgeryCorneal Edema --etiologyCorneal Edema --surgeryDescemet Stripping Endothelial KeratoplastyFemaleHumansLens, Crystalline --surgeryPhacoemulsificationPhakic Intraocular Lenses --adverse effectsPostoperative PeriodTime FactorsVisual AcuityArticle