Results of penetrating keratoplasty for pseudophakic corneal edema with retention of intraocular lens

A. M. Kozarsky, S. Stopak, G. O. Waring, R. D. Stulting, L. A. Wilson, H. D. Cavanagh, F. M. Cornell

Research output: Contribution to journalArticle

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Abstract

We reviewed the records of 26 consecutive patients undergoing penetrating keratoplasty for pseudophakic corneal edema in which the original intraocular lens was retained. The average interval between lens implantation and penetrating keratoplasty was 31.5 months. Follow-up after keratoplasty ranged from 11 to 59 months, with an average of 24.5 months. Six patients had anterior chamber lenses; 16, iris or iridocapsular lenses, and 4, posterior chamber lenses. A vitrectomy was performed in 14 (54%) patients. Of the 21 patients with clear grafts (80%), 8 (38%) had vision of 20/40 or better while 7 (33%) had acuities of 20/200 or worse. Visual acuity of 20/40 or better was attained by 3 of 4 (75%) patients with posterior chamber lenses but only 3 of 16 (19%) patients with iris-supported lenses. Cystoid macular edema was the principal cause of decreased acuity in 12 of the 13 patients with clear grafts and acuity less than 20/40. Angiographic confirmation was obtained in 7 of 12 patients. Overall, the results are similar to those reported for pseudophakic keratoplasty with intraocular lens removal. No adverse effect of retaining a securely fixated intraocular lens was demonstrated.

Original languageEnglish (US)
Pages (from-to)1141-1146
Number of pages6
JournalOphthalmology
Volume91
Issue number10
StatePublished - 1984

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Corneal Edema
Penetrating Keratoplasty
Intraocular Lenses
Lenses
Corneal Transplantation
Iris
Transplants
Macular Edema
Vitrectomy
Anterior Chamber
Visual Acuity

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Kozarsky, A. M., Stopak, S., Waring, G. O., Stulting, R. D., Wilson, L. A., Cavanagh, H. D., & Cornell, F. M. (1984). Results of penetrating keratoplasty for pseudophakic corneal edema with retention of intraocular lens. Ophthalmology, 91(10), 1141-1146.

Results of penetrating keratoplasty for pseudophakic corneal edema with retention of intraocular lens. / Kozarsky, A. M.; Stopak, S.; Waring, G. O.; Stulting, R. D.; Wilson, L. A.; Cavanagh, H. D.; Cornell, F. M.

In: Ophthalmology, Vol. 91, No. 10, 1984, p. 1141-1146.

Research output: Contribution to journalArticle

Kozarsky, AM, Stopak, S, Waring, GO, Stulting, RD, Wilson, LA, Cavanagh, HD & Cornell, FM 1984, 'Results of penetrating keratoplasty for pseudophakic corneal edema with retention of intraocular lens', Ophthalmology, vol. 91, no. 10, pp. 1141-1146.
Kozarsky AM, Stopak S, Waring GO, Stulting RD, Wilson LA, Cavanagh HD et al. Results of penetrating keratoplasty for pseudophakic corneal edema with retention of intraocular lens. Ophthalmology. 1984;91(10):1141-1146.
Kozarsky, A. M. ; Stopak, S. ; Waring, G. O. ; Stulting, R. D. ; Wilson, L. A. ; Cavanagh, H. D. ; Cornell, F. M. / Results of penetrating keratoplasty for pseudophakic corneal edema with retention of intraocular lens. In: Ophthalmology. 1984 ; Vol. 91, No. 10. pp. 1141-1146.
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