case_images: PMC11034693_01
case_images: Gross Examination and pachymetry of the left eye. (a) Preoperative slit-lamp examination shows a hazy cornea due to severe stromal edema with inferior bullous keratopathy. The superior haptic of the Kelman anterior chamber phakic intraocular lens had dislocated through the 1 o'clock iridectomy causing temporal displacement of the whole lens. There were no signs of a developing cataract. (b) Preoperative pachymetry showing a diffusely thickened cornea. (c) Postoperative slit-lamp examination at 6 months shows full corneal transparency. There were no signs of implantable collamer lens displacement. Both superior and inferior iridectomies were patent. (d) Postoperative pachymetry at 6 months shows normal corneal thickness due to resolution of corneal edema
case_images: TJO-14-117-g001.jpg
case_images: PMC11034693_01_TJO-14-117-g001.jpg
case_images: TJO-D-23-00168-f001
case_images: On the day of consultation, the cornea of the left eye had severe stromal edema and inferior bullous keratopathy [Figure 1a-b]. The crystalline lens appeared unaffected and healthy [Figures 1a-b and 2a]. There were no signs of rejection [Figures 1c-d and 2b].
case_images: Anterior segment optical coherence tomography (AS-OCT) of the left eye (MS-39; CSO). (a) Preoperative AS-OCT shows a thickened cornea with inferior bullous keratopathy (yellow arrow), a secondary laser-assisted in situ keratomileusis (LASIK) flap fluid interface where there is fluid retention underneath the LASIK flap (red arrows) and the anterior chamber phakic intraocular lens displaced temporally (white arrows) (b) Postoperative AS-OCT shows improved corneal state with no edema. There are no signs of any detachment of the Descemet membrane endothelial keratoplasty or signs of rejection. The Implantable Collamer Lens is also stable with an adequate vault measuring 127 um
case_images: TJO-14-117-g002.jpg
case_images: PMC11034693_01_TJO-14-117-g002.jpg
case_images: TJO-D-23-00168-f002
case_images: The crystalline lens appeared unaffected and healthy [Figures 1a-b and 2a]. A secondary LASIK flap fluid interface syndrome was also seen by optical coherence tomography [Figure 2a]. There were no signs of rejection [Figures 1c-d and 2b]. The ICL was also in place with an adequate vault measuring 127 um [Figure 2b].