Journal of the Korean Ophthalmological Society 1999;40(10):2723-2727.
Published online October 1, 1999.
Penetrating Keratoplasty for Bullous Keratopathy following Cataract Extraction.
C S Jung, Y W Myong, H M Woo
1Department of Ophthalmology, College of Medicine, The Catholic University of Korea, St.Mary's College.
2Department of Veterinary Medicine, Seoul National University, Seoul, Korea.
백내장수술을 받은 환자에서 전층각막이식술의 임상적 고찰
정천석(Chun Suk Jung),명윤원(Yoon Won Myong),우흥명(Heung Myong Woo)
Abstract
We analysed 17 bullous keratopathy patients (17 eyes) with penetrating keratoplasty for 8years from February 1990 to May 1998 in the Department of Ophthalmology, St.Mary 's Hospital, Catholic University Medical College, retrospectively. Two eyes (12%) underwent intracapsular cataract extraction and anterior chamber lens implantation, 8 eyes (47%) extracapsular cataract extraction and anterior chamber lens implantation, 1 eye (6%) secondary anterior chamber lens implantation, 2 eyes (12%) penetrating keratoplasty, intracap-sular cataract extraction and anterior chamber lens implantation, and 2 eyes (12%) penetrating keratoplasty, extracapsular cataract extraction and anterior chamber lens implantation. The mean time from cataract extraction to bullous keratopathy was 34 months. The mean time from bullous keratopathy to penetrating keratoplasty was 26 months. The postoperative visual acuity of 15 eyes (88%) were improved than preoperative visual acuity. The factors that affect the visual acuity were macular edema, 1 eye (6%) and graft rejection, 1 eye (6%). Postoperative complications were glaucoma, 2 eyes (12%) and graft rejection, 1 eye (6%).
Key Words: Bullous keratopathy;Cataract surgery;Penetrating kerato-plasty


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