Combined Keratoplasty and Cataract Surgery.

Kim, Sung Mi; Sae, Woo Jin; Kim, Jae Ho

Original Article

Journal of the Korean Ophthalmological Society 1995;36(10):1669-1676.
Published online October 1, 1995.

Combined Keratoplasty and Cataract Surgery.

Sung Mi Kim, Woo Jin Sae, Jae Ho Kim

Department of Ophthalmology, Kangnam St. Mary's Hospital Catholic University, Medical College, Seoul, Korea.

백내장 적출술 및 인공수정체 삽입술이 동반된 각막이식수술 59 례

김성미(Sung Mi Kim),사우진(Woo Jin Sae),김재호(Jae Ho Kim)

Abstract

We evaluated the clinical results of the combined keratoplasty and cataract surgery. Fifty nine patients were devided into 3 groups according to the operation type: Group I; penetrating keratoplasty, cataract extraction and intraocular lens implantation (triple procedure), Group II; penetrating keratoplasty and cataract extraction, Group III; penetrating keratoplasty and intraocular lens implantation. The most common cause of corneal opacity was infection in group I and II, and aphakic bullous keratopathy in group III. The preoperative best corrected visual acuity was less than 20/200 in almost all patients. The postoperative corrected visual acuity of 20/100 or better was obtained in 70%(14 eyes), 53%(9 eyes) and 33.3%(5 eyes) in group I, II and III and 12 months. Clarity of the graft cornea was maintained 90.9% in group I, 55% in group, and 64.7% in group III. The two most common complication were graft rejection and glaucoma. From above results, combined keratoplasty and cataract surgery could be an available procedure which obtain a good visual outcome in patients who have both corneal opacity and cataract. Especially, the triple procedure offers patients the chance of an early visual rehabilitation after graft and cataract surgery with a little risk of complication. However, more careful preoperative examinations and postoperative managements should be necessary for a higher success-rate.

Key Words: Best-corrected visual acuity;Cataract extraction;Corneal clarity;Intraocular lens implantation;Penetrating keratoplasty