| Penetrating keratoplasty for pseudophakic bullous keratopathy associated with closed-loop anterior chamber intraocular lenses. | |
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MedLine Citation:
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PMID: 2326019 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Closed-loop anterior chamber intraocular lenses (AC IOLs) are associated with a high incidence of pseudophakic bullous keratopathy (PBK). The prognosis for recovery of vision with penetrating keratoplasty and the exchange of one type of AC IOL for another remains controversial. A total of 40 consecutive patients with closed-loop AC IOLs and varying degrees of PBK underwent penetrating keratoplasty, explanation of the closed-loop AC IOL, and implantation of a flexible tripod AC IOL--all done with a uniform technique. The average follow-up study was 24 months. Average preoperative visual acuity was 20/170 (range, 20/25-hand motions) and average postoperative visual acuity was 20/44 (range, 20/20-no light perception). A total of 23 eyes (57.5%) achieved a visual acuity of 20/40 or better. Eleven eyes (27.5%) had a visual acuity of 20/200 or worse. Persistent cystoid macular edema was the most frequent cause of poor vision postoperatively (4 eyes), followed by age-related macular degeneration (3 eyes) and graft rejection (2 eyes). This is the first series documenting a good visual outcome for at least 2 years after penetrating keratoplasty and exchange of a closed-loop AC IOL for a single type of flexible tripod AC IOL. |
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Authors:
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E W Kornmehl; R F Steinert; M G Odrich; J B Stevens |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Ophthalmology Volume: 97 ISSN: 0161-6420 ISO Abbreviation: Ophthalmology Publication Date: 1990 Apr |
Date Detail:
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Created Date: 1990-05-21 Completed Date: 1990-05-21 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7802443 Medline TA: Ophthalmology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 407-12; discussion 413-4 Citation Subset: IM |
Affiliation:
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Cornea Consultation Service, Massachusetts Eye and Ear Infirmary, Boston 02114. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Anterior Chamber / surgery Corneal Diseases / etiology, surgery* Female Graft Survival Humans Intraocular Pressure Keratoplasty, Penetrating* / methods Lenses, Intraocular / adverse effects* Macular Edema / etiology Male Middle Aged Prognosis Reoperation Visual Acuity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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