J Korean Ophthalmol Soc.  1996 Dec;37(12):2031-2040.

Clinical Result of Penetrating Keratoplasty Combined with Intraocular Lens Implantation or Exchange

• Cho EH
• Tchah HW

Abstract

We reviewed the outcome of combined penetrating keratoplasty and intraocular lens implantation surgery in 24 patients (25 eyes). All patiets underwent keratoplasty and posterior chamber lens implantation or intraocular lens exchange. Mean follow-up time was 20.5 months (range, 2 to 63 months). Visual acuity of 0.5 or better Was obtained in 5 patients (20%) and visual improvement was achieved in 60% of patients over all postoperatively. The success rate of keratoplasty was 56% according to corneal clarity during the follow-up periods. Immediate postoperative hyphema (1 eye), glaucoma (9 eyes), Graft failure (7 eyes), recurred Herpetic or newly developed bacterial keratitis (3 eyes), macular degeneration (1 eye). and retinal detachment (1 eye) were occurred as complications at postoperative periods. These combined operations allow faster visual rehabilitation without increasing the incidence of complications, compared to multi-step modalities of treatment.

MeSH Terms

Corneal Transplantation
Follow-Up Studies
Glaucoma
Humans
Hyphema
Incidence
Keratitis
Keratoplasty, Penetrating*
Lens Implantation, Intraocular*
Lenses, Intraocular*
Macular Degeneration
Postoperative Period
Rehabilitation
Retinal Detachment
Transplants
Visual Acuity