| Combined keratoplasty, cataract extraction, and intraocular lens implantation after corneolenticular laceration in children. | |
| | |
MedLine Citation:
|
PMID: 8154534 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Over a period of two years we performed combined penetrating keratoplasty, cataract extraction, and intraocular lens implantation in seven children between the ages of 2 and 12 years old. The interval between trauma and the surgery varied from six weeks to six months (3.5 +/- 1.6 months, mean +/- SD). All of the patients had undergone primary repair of corneal perforation. Fresh corneas preserved in McCarey-Kaufman medium were used. The graft size was 7.5 mm with 0.5 mm disparity. Posterior chamber polymethylmethacrylate C-loop lenses were used in all cases. The surgeon's average postkeratoplasty keratometry was used in the calculation of intraocular lens power. The follow-up period ranged from nine to 36 months (18 +/- 9.1 months, mean +/- SD). Six grafts remained clear at the final follow-up. The visual acuity ranged from 20/40 to 20/200 with final astigmatism ranging from 0.5 diopter to 2.0 diopters. One patient developed a retinal detachment 12 months after surgery, which was successfully reattached. One patient, who had preoperative corneal vascularization, had graft rejection, which was treated medically. Our limited series suggests that the triple ocular procedure is a good choice for the treatment of corneolenticular trauma in children. The proper postoperative treatment includes vigorous antiamblyopia therapy and Nd:YAG laser treatment of after-cataracts. |
| | |
Authors:
|
R B Vajpayee; S K Angra; S G Honavar |
Related Documents
:
|
9197564 - Accuracy of iol calculation in cataract surgery. 12086304 - The effectiveness of occluder contact lenses in improving occlusion compliance in patie... 9754184 - Laser vision correction for low hyperopia. an 18-month assessment of safety and efficacy. 19091414 - Precut tissue for descemet's stripping automated endothelial keratoplasty: vision, asti... 22807594 - Practice audits to reduce caesareans in a tertiary referral hospital in south-western c... 11839344 - Postoperative atrial fibrillation in noncardiothoracic surgical patients. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: American journal of ophthalmology Volume: 117 ISSN: 0002-9394 ISO Abbreviation: Am. J. Ophthalmol. Publication Date: 1994 Apr |
Date Detail:
|
Created Date: 1994-05-09 Completed Date: 1994-05-09 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0370500 Medline TA: Am J Ophthalmol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 507-11 Citation Subset: AIM; IM |
Affiliation:
|
Dr. Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Amblyopia
/
therapy Cataract / etiology Cataract Extraction* Child Child, Preschool Combined Modality Therapy Cornea / injuries*, surgery Corneal Opacity / etiology, surgery Evaluation Studies as Topic Eye Injuries, Penetrating / complications, surgery* Female Follow-Up Studies Humans Keratoplasty, Penetrating* Laser Therapy Lenses, Intraocular* Male Visual Acuity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The context and consequences of ocular injuries from air guns.
Next Document: Anterior polar cataract in two sisters with an unbalanced 3;18 chromosomal translocation.