Results of Penetrating Keratoplasty with Scleral-Fixated Posterior Chamber Lens for Aphakic Bullous Keratopathy.
- Author:
Hyung Iel KIM
1
;
Tae Won HAHN
;
Jae Ho KIM
Author Information
1. Department of Ophthalmology, Catholic University, Medical College, Kangnam St. Mary's Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Pentrating keratoplaty;
Aphakic ballous keratopathy;
Scleral-fixated posterior chamber lens
- MeSH:
Astigmatism;
Corneal Transplantation;
Endothelium, Corneal;
Humans;
Keratoplasty, Penetrating*;
Lens Implantation, Intraocular;
Transplants
- From:Journal of the Korean Ophthalmological Society
1993;34(11):1085-1092
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Penetrating keratoplasty with or without intraocular lens implantation is necessary to restore a vision of an eye with aphakic bullous keratopathy. We analyzed surgical outcomes in eleven aphakic bullous keratopathy patients(11, eyes) who received penetrat-ing keratoplasty with scleral-fixated posterior chamber lens(PCL)at Kangnam St.Mary's hospital from January, 1989 to December 1991 and followed up more than 1 year Eight of eleven eyes showed the postoperative corrected VlSlOn of 0.3 to 0.8 at postoperative one year. The cuases of poor vision below 0.3 were age-related macular degeneration(1 eye), graft failure(I eye) and diabetic retinopathy(1 eye). At one year after surgery, mean spherical equivalent was-1.12, mean astigmatism was 4.21D and percent loss of corneal endothelium was 35.5%. Graft rejection(3 eyes) and secondary glaucoma(1 eye) were occured during the postoplasty with scleral-fixated PCL can be an excellent surgical technique to get visual rehabilitaion of patients with an aphakic bullous keratopathy.
