{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:31:58Z","timestamp":1787776318844,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>\n                    In an aphakic eye with corneal edema, performing Descemet\u2019s stripping automated endothelial keratoplasty (DSAEK) combined with implantation of intraocular lens can be a challenge. This case report describes a surgical technique for postsurgical aphakia with endothelial decompensation in a 42-year-old female with Marfan syndrome and subluxated lens. This technique comprised implanting DSAEK with fibrin glue-assisted sutureless posterior chamber intraocular lens. The donor lenticels were formed on a 60-kHz femtosecond laser platform (IntraLase\n                    <jats:sup>\u00ae<\/jats:sup>\n                    ). Two partial-thickness scleral flaps and sclerotomies were created, and then, the Descemet\u2019s membrane was scored and stripped. A posterior chamber intraocular lens was implanted, and its haptics was pulled out through the sclerotomies and tucked beneath the flaps. The flaps were then apposed with fibrin glue. The donor lenticule was introduced to the anterior chamber and unfolded. Air tamponade was used to stabilize and center it. This technique significantly improved the uncorrected and best-corrected visual acuities of the patient, and no donor dislocations were reported. This case corroborates the findings of few similar cases that have found combined use of glued intraocular lens with DSAEK to be beneficial in such cases.\n                  <\/jats:p>","DOI":"10.4103\/sjmms.sjmms_19_18","type":"journal-article","created":{"date-parts":[[2019,8,28]],"date-time":"2019-08-28T04:50:44Z","timestamp":1566967844000},"page":"179-182","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Glued Intraocular Lens Combined with Endothelial Keratoplasty: A Case Report"],"prefix":"10.4103","volume":"7","author":[{"given":"Arwa Z.","family":"Al-Romaih","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, King Abdulaziz University Hospital, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohanna Y.","family":"Al-Jindan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saud M.","family":"Al-Johani","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,8,28]]},"reference":[{"key":"R1-20250523","doi-asserted-by":"crossref","first-page":"1708","DOI":"10.1016\/j.jcrs.2008.06.015","article-title":"Management of pseudophakic bullous keratopathy by combined Descemet-stripping endothelial keratoplasty and intraocular lens exchange","volume":"34","author":"Wylega\u0142a","year":"2008","journal-title":"J Cataract Refract Surg"},{"key":"R2-20250523","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1016\/j.jcrs.2012.02.042","article-title":"Intrascleral fibrin glue intraocular lens fixation combined with Descemet-stripping automated endothelial keratoplasty or penetrating keratoplasty","volume":"38","author":"Sinha","year":"2012","journal-title":"J Cataract Refract Surg"},{"key":"R3-20250523","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1097\/ICO.0b013e3181cb4120","article-title":"Femtosecond-assisted Descemet stripping automated endothelial keratoplasty with fibrin glue-assisted sutureless posterior chamber lens implantation","volume":"29","author":"Prakash","year":"2010","journal-title":"Cornea"},{"key":"R4-20250523","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1001\/archopht.1994.01090220061024","article-title":"Penetrating keratoplasty with anterior or posterior chamber intraocular lens implantation","volume":"112","author":"Brunette","year":"1994","journal-title":"Arch Ophthalmol"},{"key":"R5-20250523","doi-asserted-by":"crossref","first-page":"163","DOI":"10.4103\/0301-4738.112160","article-title":"Glue-assisted intrascleral fixation of posterior chamber intraocular lens","volume":"61","author":"Narang","year":"2013","journal-title":"Indian J Ophthalmol"},{"key":"R6-20250523","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1001\/archophthalmol.2007.32","article-title":"Descemet stripping with endothelial keratoplasty in aphakic eyes","volume":"126","author":"Suh","year":"2008","journal-title":"Arch Ophthalmol"},{"key":"R7-20250523","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1016\/j.jcrs.2008.04.040","article-title":"Fibrin glue-assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules","volume":"34","author":"Agarwal","year":"2008","journal-title":"J Cataract Refract Surg"},{"key":"R8-20250523","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.1016\/j.jcrs.2015.10.006","article-title":"Outcomes of glued foldable intraocular lens implantation in eyes with preexisting complications and combined surgical procedures","volume":"41","author":"Kang","year":"2015","journal-title":"J Cataract Refract Surg"},{"key":"R9-20250523","first-page":"381","article-title":"Intrascleral IOL fixation","volume":"6","author":"Jacob","year":"2017","journal-title":"Asia Pac J Ophthalmol (Phila)"}],"container-title":["Saudi Journal of Medicine &amp; Medical Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sjmms.sjmms_19_18","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:05:27Z","timestamp":1787774727000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sjmms.sjmms_19_18"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,28]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.4103\/sjmms.sjmms_19_18","relation":{},"ISSN":["1658-631X","2321-4856"],"issn-type":[{"value":"1658-631X","type":"print"},{"value":"2321-4856","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,28]]},"assertion":[{"value":"2018-02-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-06-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}