| Autor: |
Speaker MG; Cornea Service, Wills Eye Hospital, Philadelphia, PA 19107., Lugo M, Laibson PR, Rubinfeld RS, Stein RM, Genvert GI, Cohen EJ, Arentsen JJ |
| Jazyk: |
angličtina |
| Zdroj: |
Ophthalmology [Ophthalmology] 1988 Sep; Vol. 95 (9), pp. 1260-8. |
| DOI: |
10.1016/s0161-6420(88)33037-x |
| Abstrakt: |
Management of the intraocular lens (IOL) at the time of penetrating keratoplasty (PK) for pseudophakic bullous keratopathy has been based on lens-related factors and coexisting anterior segment abnormalities. The authors reviewed the results of PK for 102 cases of pseudophakic bullous keratopathy (43 anterior chamber, 50 iris-supported, and 9 posterior chamber) with respect to: (1) the type of IOL, (2) coexisting abnormalities, and (3) management of the IOL at surgery. Graft failure after 2 years of follow-up was: (1) retained iris-supported IOLs, 9%; (2) retained anterior chamber IOLs, 60%; (3) retained posterior chamber intraocular lenses (PC IOL), 0%; (4) removed IOLs, 9%; and (5) exchanged IOLs, 20%. After 5 years of follow-up, 13 of 13 PKs with retained closed-loop anterior chamber IOLs had failed. Visual results were best in eyes with retained iris-supported, rigid anterior chamber or PC IOLs and when the IOL was removed without replacement. The authors recommend that closed-loop anterior chamber lenses and unstable lenses of any type be removed or exchanged and that well-fixated PC IOLs and iris-clip IOLs be retained at the time of PK for pseudophakic bullous keratopathy. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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