Visual acuity after penetrating keratoplasty for pseudophakic and aphakic bullous keratopathy
| Autor: | Patrick Schraepen, Marie-José Tassignon, Carina Koppen |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Visual acuity Pseudophakia genetic structures medicine.medical_treatment Eye disease Ocular Pathology Visual Acuity Aphakia Postcataract Cataract Extraction Aphakia Corneal Diseases Lens Implantation Intraocular Ophthalmology medicine Humans Aged Aged 80 and over business.industry Graft Survival Middle Aged Cataract surgery Prognosis medicine.disease eye diseases Sensory Systems Surgery Posterior segment of eyeball Bullous keratopathy sense organs medicine.symptom Complication business Keratoplasty Penetrating |
| Zdroj: | Journal of Cataract and Refractive Surgery. 29:482-486 |
| ISSN: | 0886-3350 |
| DOI: | 10.1016/s0886-3350(02)01742-x |
| Popis: | Purpose To identify prognostic factors that determine the visual acuity after penetrating keratoplasty (PKP) for bullous keratopathy secondary to cataract surgery. Setting Department of Ophthalmology, University Hospital Antwerp, Antwerp, Belgium. Methods Twenty-six patients who had PKP for bullous keratopathy were examined before and after surgery. The patients were divided into 3 groups: pseudophakic bullous keratopathy (PBK) after cataract extraction with implantation of a posterior chamber intraocular lens (PC IOL) (Group 1) or an anterior chamber IOL (AC IOL) (Group 2); aphakic bullous keratopathy (ABK) (Group 3). The following parameters were recorded: preoperative and postoperative visual acuity, age at the time of surgery, interval between cataract surgery and development of bullous keratopathy, presence of an AC IOL or a PC IOL, aphakia, and presence of concomitant ocular pathology. Results Visual acuity improved in Group 1 (0.02 to 0.26); no visual improvement was observed in the other groups. Posterior segment damage occurred in one third of the patients in Group 1 and in all patients in the other groups. Patients with an intact posterior segment had a significantly better visual outcome. In eyes without posterior segment pathology, visual acuity improved from a mean of 0.03 (range 0 to 0.20) to a mean of 0.37 (range 0.03 to 0.90). In eyes with posterior segment pathology, no visual acuity improvement could be obtained. Conclusion The most important negative prognostic factors affecting visual acuity were the presence of concomitant ocular pathology, an AC IOL, and a long interval between surgery and the development of bullous keratopathy. |
| Databáze: | OpenAIRE |
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