Results of Penetrating Keratoplasty with Scleral-Fixated Posterior Chamber Lens for Aphakic Bullous Keratopathy.

Kim, Hyung Iel; Hahn, Tae Won; Kim, Jae Ho

Original Article

Journal of the Korean Ophthalmological Society 1993;34(11):1085-1092.
Published online November 1, 1993.

Results of Penetrating Keratoplasty with Scleral-Fixated Posterior Chamber Lens for Aphakic Bullous Keratopathy.

Hyung Iel Kim, Tae Won Hahn, Jae Ho Kim

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

무수정체성 수포성 각막증에 대한 전층각막이식 및 공막고정에 의한 후방 인공수정체 삽입의 성적

김재호(Jae Ho Kim),한태원(Tae Won Hahn),김형일(Hyung Iel Kim)

Abstract

Penetrating keratoplasty with or without intraocular lens implantation is necessary to restore a vision of an eye with aphakic bullous keratopathy. We analyzed surgical outcomes in eleven aphakic bullous keratopathy patients(11, eyes) who received penetrat-ing keratoplasty with scleral-fixated posterior chamber lens(PCL)at Kangnam St.Mary's hospital from January, 1989 to December 1991 and followed up more than 1 year Eight of eleven eyes showed the postoperative corrected VlSlOn of 0.3 to 0.8 at postoperative one year. The cuases of poor vision below 0.3 were age-related macular degeneration(1 eye), graft failure(I eye) and diabetic retinopathy(1 eye). At one year after surgery, mean spherical equivalent was-1.12, mean astigmatism was 4.21D and percent loss of corneal endothelium was 35.5%. Graft rejection(3 eyes) and secondary glaucoma(1 eye) were occured during the postoplasty with scleral-fixated PCL can be an excellent surgical technique to get visual rehabilitaion of patients with an aphakic bullous keratopathy.

Key Words: Pentrating keratoplaty;Aphakic ballous keratopathy;Scleral-fixated posterior chamber lens