TY - JOUR
T1 - Long-term outcomes of combined penetrating keratoplasty with iris-sutured intraocular lens implantation
AU - Karamursel Akpek, Esen
AU - Altan-Yaycioglu, Rana
AU - Karadayi, Koray
AU - Christen, William
AU - Stark, Walter J.
N1 - Funding Information:
Supported in part by grants from the Mr. and Mrs. Raymond P. L. Kwok Research Fund and The Stavros S. Niarchos Foundation, Baltimore, Maryland. Dr. R. Altan-Yaycioglu is the inaugural A. Edward Maumenee Memorial Fellow, sponsored by Tissue Banks International, Baltimore, Maryland, and Dr. K. Karadayi was sponsored by Turkish Air-Force Staff Scholarship, Istanbul, Turkey.
PY - 2003/5/1
Y1 - 2003/5/1
N2 - Purpose: To evaluate the long-term outcomes of combined penetrating keratoplasty with iris-sutured posterior chamber intraocular lens implantation. Participants: Patients (264 eyes) with aphakic and pseudophakic bullous keratopathy. Design: Retrospective case series. Intervention: Penetrating keratoplasty combined with implantation of an iris-sutured posterior chamber intraocular lens performed by a single surgeon. Methods: Data were gathered from the institutional database during a period of 10 years (1989-1999) and analyzed using customized software. Main Outcome Measures: Graft survival rate, visual acuity, and intraoperative and postoperative complications. Results: Two-hundred fifty-two consecutive patients (264 eyes) were operated. Graft survival rates were 95% at 1 year, 89% at 2 years, and 81% at 5 years and were comparable to the results of previous corneal transplant studies. Among 180 patients (191 eyes) with a follow-up of at least 2 years (range, 2-11 years; mean, 5 years), the visual acuity at final follow-up visit, compared with preoperative visual acuity was improved in 72% of eyes (mean preoperative visual acuity, 20/250; mean postoperative visual acuity, 20/60). No intraoperative complications were encountered. Conclusions: Combined penetrating keratoplasty with iris-sutured posterior chamber intraocular lens implantation offers significant vision benefits in this patient group.
AB - Purpose: To evaluate the long-term outcomes of combined penetrating keratoplasty with iris-sutured posterior chamber intraocular lens implantation. Participants: Patients (264 eyes) with aphakic and pseudophakic bullous keratopathy. Design: Retrospective case series. Intervention: Penetrating keratoplasty combined with implantation of an iris-sutured posterior chamber intraocular lens performed by a single surgeon. Methods: Data were gathered from the institutional database during a period of 10 years (1989-1999) and analyzed using customized software. Main Outcome Measures: Graft survival rate, visual acuity, and intraoperative and postoperative complications. Results: Two-hundred fifty-two consecutive patients (264 eyes) were operated. Graft survival rates were 95% at 1 year, 89% at 2 years, and 81% at 5 years and were comparable to the results of previous corneal transplant studies. Among 180 patients (191 eyes) with a follow-up of at least 2 years (range, 2-11 years; mean, 5 years), the visual acuity at final follow-up visit, compared with preoperative visual acuity was improved in 72% of eyes (mean preoperative visual acuity, 20/250; mean postoperative visual acuity, 20/60). No intraoperative complications were encountered. Conclusions: Combined penetrating keratoplasty with iris-sutured posterior chamber intraocular lens implantation offers significant vision benefits in this patient group.
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U2 - 10.1016/S0161-6420(03)00097-6
DO - 10.1016/S0161-6420(03)00097-6
M3 - Article
C2 - 12750106
AN - SCOPUS:0038556977
SN - 0161-6420
VL - 110
SP - 1017
EP - 1022
JO - Ophthalmology
JF - Ophthalmology
IS - 5
ER -