Document Detail

Penetrating keratoplasty for pseudophakic bullous keratopathy associated with closed-loop anterior chamber intraocular lenses.
MedLine Citation:
PMID:  2326019     Owner:  NLM     Status:  MEDLINE    
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.
E W Kornmehl; R F Steinert; M G Odrich; J B Stevens
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ophthalmology     Volume:  97     ISSN:  0161-6420     ISO Abbreviation:  Ophthalmology     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-05-21     Completed Date:  1990-05-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7802443     Medline TA:  Ophthalmology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  407-12; discussion 413-4     Citation Subset:  IM    
Cornea Consultation Service, Massachusetts Eye and Ear Infirmary, Boston 02114.
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MeSH Terms
Aged, 80 and over
Anterior Chamber / surgery
Corneal Diseases / etiology,  surgery*
Graft Survival
Intraocular Pressure
Keratoplasty, Penetrating* / methods
Lenses, Intraocular / adverse effects*
Macular Edema / etiology
Middle Aged
Visual Acuity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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