TY - JOUR
T1 - Visual outcome and complications following penetrating keratoplasty combined with scleral fixation of posterior chamber intraocular lens
AU - Rehany, U.
AU - Rumelt, S.
PY - 1993
Y1 - 1993
N2 - 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.
AB - 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.
KW - Penetrating keratoplasty
KW - Scleral fixation of posterior chamber intraocular lens
UR - http://www.scopus.com/inward/record.url?scp=0027891716&partnerID=8YFLogxK
U2 - 10.1016/s0955-3681(13)80166-9
DO - 10.1016/s0955-3681(13)80166-9
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AN - SCOPUS:0027891716
SN - 0955-3681
VL - 5
SP - 247
EP - 250
JO - European Journal of Implant and Refractive Surgery
JF - European Journal of Implant and Refractive Surgery
IS - 4
ER -