I operated upon a patients and due to PC rent, PCIOL could not be implanted. Later after anterior vitrectomy, I inserted ACIOL. The lens is in place and not in contact with iris or cornea. There is no vitreous strand visible on SLE, but the patient developed bullous keratopathy.
I started hypertonic saline every 1 hour with steroid eye drops every 2-4 hours. IOP was 10 mm, but I also started betabloker BD and 1/2 tablet acetazolamide to reduce the production of aqueous humor.
The vision is CF.
He has been on this treatment but the condition is static. I am now planning to refer him for penetrating keratoplasy.
I need kind opinion of anyone who is concerned.
Regards
Dr. shahzad waseem
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