Visual outcome and complications following penetrating keratoplasty combined with scleral fixation of posterior chamber intraocular lens

U. Rehany, S. Rumelt

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

OBJECTIVES: To describe the surgical technique of penetrating keratoplasty (PKP) combined with scleral fixation of posterior chamber intraocular lens (PC-IOL). To determine the visual outcome and complications of PKP combined with scleral fixation of PC-IOL. STUDY DESIGN: Prospective study. SETTING: Department of Ophthalmology and Ophthalmic out-patient clinic, Nahariya Medical Center, Israel. PATIENTS: 10 patients, aged 47-81 (mean 66.4 years), underwent PKP combined with scleral fixation of PC-IOL and were followed for periods of 20-34 months (mean 27.4 months). Seven of the patients had aphakic bullous keratopathy, one had Fuch's corneal dystrophy with cataract and two had corneal opacities and cataract. MAIN OUTCOME MEASURES: Periodic visual acuity, complete eye examination and fluorescein angiography, when indicated. RESULTS: Visual acuity improved in all patients from light perception to counting fingers preoperatively, to 20/40 to 20/300 postoperatively. Pre-existing ocular pathologic findings were the main reason for only partial improvement of visual acuity in some of the patients. No significant complications were encountered in any of the patients. CONCLUSIONS: Scleral fixation of PC-IOL may be considered as an alternative surgical procedure to anterior chamber IOL implantation when combined with PKP and when capsular or zonular support is absent or unsafe.

Original languageEnglish
Pages (from-to)247-250
Number of pages4
JournalEuropean Journal of Implant and Refractive Surgery
Volume5
Issue number4
DOIs
StatePublished - 1993
Externally publishedYes

Keywords

  • Penetrating keratoplasty
  • Scleral fixation of posterior chamber intraocular lens

Fingerprint

Dive into the research topics of 'Visual outcome and complications following penetrating keratoplasty combined with scleral fixation of posterior chamber intraocular lens'. Together they form a unique fingerprint.

Cite this