Unexpected corneal endothelial cell decompensation after intraocular surgery with instruments sterilized by plasma gas

Carol A. Smith; Johnny M. Khoury; Steven M. Shields; Gerald J. Roper; Rosemary E. Duffy; Henry F. Edelhauser; Anthony J. Lubniewski

doi:10.1016/S0161-6420(00)00174-3

Unexpected corneal endothelial cell decompensation after intraocular surgery with instruments sterilized by plasma gas

Carol A. Smith, Johnny M. Khoury, Steven M. Shields, Gerald J. Roper, Rosemary E. Duffy, Henry F. Edelhauser, Anthony J. Lubniewski

Department of Ophthalmology and Visual Sciences

Research output: Contribution to journal › Article › peer-review

29 Scopus citations

Abstract

Purpose: Ten cases of unexpected corneal endothelial cell decompensation occurring after routine intraocular surgery using instruments sterilized with a new plasma gas protocol are described. Design: A retrospective observational case series with 1 year of follow-up was conducted. Results: All patients had corneal decompensation and nonreactive pupils after surgery. Six patients required penetrating keratoplasty. Three patients partially recovered pupillary function. Visual acuity at 1 year ranged from 20/20 to hand motion (HM). One patient with an anterior chamber intraocular lens (ACIOL) experienced optic atrophy and HM vision despite resolution of corneal edema. Conclusions: Toxic corneal endothelial cell destruction syndrome was associated with the introduction of plasma gas sterilization protocols. (C) 2000 by the American Academy of Ophthalmology.

Original language	English
Pages (from-to)	1561-1566
Number of pages	6
Journal	Ophthalmology
Volume	107
Issue number	8
DOIs	https://doi.org/10.1016/S0161-6420(00)00174-3
State	Published - Jan 1 2000

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10.1016/S0161-6420(00)00174-3

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title = "Unexpected corneal endothelial cell decompensation after intraocular surgery with instruments sterilized by plasma gas",

abstract = "Purpose: Ten cases of unexpected corneal endothelial cell decompensation occurring after routine intraocular surgery using instruments sterilized with a new plasma gas protocol are described. Design: A retrospective observational case series with 1 year of follow-up was conducted. Results: All patients had corneal decompensation and nonreactive pupils after surgery. Six patients required penetrating keratoplasty. Three patients partially recovered pupillary function. Visual acuity at 1 year ranged from 20/20 to hand motion (HM). One patient with an anterior chamber intraocular lens (ACIOL) experienced optic atrophy and HM vision despite resolution of corneal edema. Conclusions: Toxic corneal endothelial cell destruction syndrome was associated with the introduction of plasma gas sterilization protocols. (C) 2000 by the American Academy of Ophthalmology.",

author = "Smith, {Carol A.} and Khoury, {Johnny M.} and Shields, {Steven M.} and Roper, {Gerald J.} and Duffy, {Rosemary E.} and Edelhauser, {Henry F.} and Lubniewski, {Anthony J.}",

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T1 - Unexpected corneal endothelial cell decompensation after intraocular surgery with instruments sterilized by plasma gas

AU - Smith, Carol A.

AU - Khoury, Johnny M.

AU - Shields, Steven M.

AU - Roper, Gerald J.

AU - Duffy, Rosemary E.

AU - Edelhauser, Henry F.

AU - Lubniewski, Anthony J.

PY - 2000/1/1

Y1 - 2000/1/1

N2 - Purpose: Ten cases of unexpected corneal endothelial cell decompensation occurring after routine intraocular surgery using instruments sterilized with a new plasma gas protocol are described. Design: A retrospective observational case series with 1 year of follow-up was conducted. Results: All patients had corneal decompensation and nonreactive pupils after surgery. Six patients required penetrating keratoplasty. Three patients partially recovered pupillary function. Visual acuity at 1 year ranged from 20/20 to hand motion (HM). One patient with an anterior chamber intraocular lens (ACIOL) experienced optic atrophy and HM vision despite resolution of corneal edema. Conclusions: Toxic corneal endothelial cell destruction syndrome was associated with the introduction of plasma gas sterilization protocols. (C) 2000 by the American Academy of Ophthalmology.

AB - Purpose: Ten cases of unexpected corneal endothelial cell decompensation occurring after routine intraocular surgery using instruments sterilized with a new plasma gas protocol are described. Design: A retrospective observational case series with 1 year of follow-up was conducted. Results: All patients had corneal decompensation and nonreactive pupils after surgery. Six patients required penetrating keratoplasty. Three patients partially recovered pupillary function. Visual acuity at 1 year ranged from 20/20 to hand motion (HM). One patient with an anterior chamber intraocular lens (ACIOL) experienced optic atrophy and HM vision despite resolution of corneal edema. Conclusions: Toxic corneal endothelial cell destruction syndrome was associated with the introduction of plasma gas sterilization protocols. (C) 2000 by the American Academy of Ophthalmology.

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Unexpected corneal endothelial cell decompensation after intraocular surgery with instruments sterilized by plasma gas

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