Pseudophakic bullous keratopathy

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Pseudophakic bullous keratopathy, abbreviated PBK,[1] a pathology of the eye that may be seen in Descemet's membrane specimens.

General

  • Rare.[2]
  • Complication of cataract surgery.[3][4]

Clinical:[5]

  • Eye pain.
  • Corneal edema.

Microscopic

Features:[5]

  • Loss of endothelial cells (<600 cells/mm).
  • Scarring (late).
  • Neovascularization (late).

Images

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Descemet's Membrane, Right Eye, Excision:
- Descment's membrane with decreased numbers of endothelial cells.
- Pending eye pathologist consult.
Left Eye, Descemet's Membrane, Excision:
     - Descment's membrane with decreased numbers of endothelial cells, 
       compatiable with pseudophakic bullous keratopathy, PENDING REVIEW 
       BY EYE PATHOLOGIST.

See also

References

  1. Arora, R.; Manudhane, A.; Saran, RK.; Goyal, J.; Goyal, G.; Gupta, D. (Dec 2013). "Role of corneal collagen cross-linking in pseudophakic bullous keratopathy: a clinicopathological study.". Ophthalmology 120 (12): 2413-8. doi:10.1016/j.ophtha.2013.07.038. PMID 23953101.
  2. Bigar, F.; Stürmer, J.; Ganzfried, R. (May 1988). "[Pseudophakic bullous keratopathy].". Klin Monbl Augenheilkd 192 (5): 453-7. doi:10.1055/s-2008-1050150. PMID 3404956.
  3. Goodman, DF.; Stark, WJ.; Gottsch, JD. (Feb 1989). "Complications of cataract extraction with intraocular lens implantation.". Ophthalmic Surg 20 (2): 132-40. PMID 2648237.
  4. Daus W, Völcker HE, Homberg A (June 1991). "[Pathology of the corneal endothelium in bullous keratopathy following iris clip lens implants]" (in German). Klin Monbl Augenheilkd 199 (1): 1–7. doi:10.1055/s-2008-1046036. PMID 1895732.
  5. 5.0 5.1 5.2 Liu, T.; Xu, Y.; Sun, D.; Xie, L. (2012). "Histological evaluation of corneal scar formation in pseudophakic bullous keratopathy.". PLoS One 7 (6): e39201. doi:10.1371/journal.pone.0039201. PMID 22720074.