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Pseudophakic bullous keratopathy.

Stefan Pricopie1, Sanziana Istrate1, Liliana Voinea1

  • 1Ophthalmology Department, Bucharest Emergency University Hospital, Bucharest, Romania.

Romanian Journal of Ophthalmology
|February 17, 2018
PubMed
Summary

Pseudophakic bullous keratopathy causes corneal swelling and blisters after cataract surgery, leading to vision loss and pain. This review covers its causes and treatments.

Keywords:
bullous keratopathycataract extractioncorneal disease treatmentcorneal surgery

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Area of Science:

  • Ophthalmology
  • Corneal Disease
  • Surgical Complications

Background:

  • Pseudophakic bullous keratopathy (PBK) is a significant complication following cataract surgery.
  • It involves corneal edema and bullae formation due to endothelial cell loss and decompensation.
  • Affecting 1-2% of cataract surgeries, PBK impacts millions globally due to the high prevalence of cataracts.

Purpose of the Study:

  • To review the etiopathogenesis of pseudophakic bullous keratopathy.
  • To summarize current clinical and surgical treatment options for PBK.

Main Methods:

  • Literature review of pseudophakic bullous keratopathy.
  • Analysis of etiopathogenesis and clinical presentation.
  • Evaluation of available treatment strategies.

Main Results:

  • PBK results from endothelial trauma during cataract surgery, causing stromal edema and bullae.
  • Symptoms include decreased vision, tearing, and pain from ruptured bullae.
  • Various clinical and surgical interventions exist for managing PBK.

Conclusions:

  • Understanding PBK's causes is crucial for prevention and management.
  • Timely diagnosis and appropriate treatment can alleviate patient symptoms and improve outcomes.
  • Further research may refine treatment protocols for this post-cataract surgery complication.