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Updated: May 31, 2026

Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
Simultaneous Descemet stripping automated endothelial keratoplasty and aphakic iris-fixated intraocular lens
Carlo Cagini1, Tito Fiore, Arianna Leontiadis
1Department of Ophthalmology, University of Perugia, Perugia, Italy. carlocagini@hotmail.com
Purpose:
To report 3 cases of simultaneous Descemet stripping automated endothelial keratoplasty (DSAEK) and aphakic iris-fixated intraocular lens (IOL) implantation in patients with aphakia and bullous keratopathy.
Methods:
We retrospectively documented the clinical characteristics of patients before and after simultaneous DSAEK and aphakic iris-fixated IOL implantation undergoing operation between November 2008 and September 2009.
Results:
None of the cases showed any intraoperative complications. During the postoperative period, the corneal lenticule was clear and well-attached, and the iris-fixated IOL was well-positioned.
Conclusions:
Simultaneous DSAEK and aphakic iris-fixated IOL implantation can be used successfully and simultaneously in patients with aphakia and bullous keratopathy.
