BIOMAT Database Logo BIOMAT Database Logo

Iris-sutured posterior chamber intraocular lens implantation during penetrating keratoplasty. 2004

Ayad A Farjo, and Douglas J Rhee, and H Kaz Soong, and Roger F Meyer, and Alan Sugar
Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinics, Iowa City, IA, USA. afarjo@umich.edu

OBJECTIVE To evaluate the clinical indications and postoperative results of iris-sutured posterior chamber intraocular lens implants performed during penetrating keratoplasty. METHODS Medical records were retrospectively reviewed for preoperative indications and postoperative results of 342 consecutive patients (366 eyes) who underwent iris suturing of a posterior chamber intraocular lens implant during penetrating keratoplasty over a 9-year period. RESULTS Mean follow-up was 36 months. The principal indications for corneal transplantation were pseudophakic and aphakic bullous keratopathy. Mean postoperative best spectacle-corrected visual acuity was better than preoperatively at all measured time points (P < 0.0001) and improved from 20/474 preoperatively to 20/85 at 1 year. Nine eyes (7.7%) with known preoperative glaucoma required escalation of therapy by medication or surgery to control the intraocular pressure. Seventy-two eyes (29%) without known preoperative glaucoma required treatment of elevated intraocular pressure. Seventy-nine eyes (28%) without known preoperative cystoid macular edema were additionally diagnosed. Mean endothelial cell counts declined throughout the study time frame. Corneal donor rejection episodes occurred in 36 (9.8%) eyes, with the majority having a single episode. Overall, 27 (7.4%) eyes had known graft failure at last follow-up. Two eyes (0.5%) were enucleated following wound disruption. CONCLUSIONS These long-term results of iris-sutured posterior chamber intraocular lens implants performed during penetrating keratoplasty suggest acceptable visual acuity, graft survival, and complication rates. They are similar to published retrospective and prospective results of flexible open-loop anterior chamber and transsclerally-sutured posterior chamber intraocular lens implants placed during penetrating keratoplasty.

UI MeSH Term Description Entries
D007498 Iris The most anterior portion of the uveal layer, separating the anterior chamber from the posterior. It consists of two layers - the stroma and the pigmented epithelium. Color of the iris depends on the amount of melanin in the stroma on reflection from the pigmented epithelium.
D008268 Macular Degeneration Degenerative changes in the RETINA usually of older adults which results in a loss of vision in the center of the visual field (the MACULA LUTEA) because of damage to the retina. It occurs in dry and wet forms. Maculopathy,Maculopathy, Age-Related,Age-Related Macular Degeneration,Age-Related Maculopathies,Age-Related Maculopathy,Macular Degeneration, Age-Related,Macular Dystrophy,Maculopathies, Age-Related,Age Related Macular Degeneration,Age Related Maculopathies,Age Related Maculopathy,Age-Related Macular Degenerations,Degeneration, Macular,Dystrophy, Macular,Macular Degeneration, Age Related,Macular Degenerations,Macular Dystrophies,Maculopathies,Maculopathy, Age Related
D008269 Macular Edema Fluid accumulation in the outer layer of the MACULA LUTEA that results from intraocular or systemic insults. It may develop in a diffuse pattern where the macula appears thickened or it may acquire the characteristic petaloid appearance referred to as cystoid macular edema. Although macular edema may be associated with various underlying conditions, it is most commonly seen following intraocular surgery, venous occlusive disease, DIABETIC RETINOPATHY, and posterior segment inflammatory disease. (From Survey of Ophthalmology 2004; 49(5) 470-90) Central Retinal Edema, Cystoid,Cystoid Macular Edema,Macular Edema, Cystoid,Cystoid Macular Dystrophy,Cystoid Macular Edema, Postoperative,Irvine-Gass Syndrome,Macular Dystrophy, Dominant Cystoid,Edema, Cystoid Macular,Edema, Macular,Irvine Gass Syndrome,Syndrome, Irvine-Gass
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D005901 Glaucoma An ocular disease, occurring in many forms, having as its primary characteristics an unstable or a sustained increase in the intraocular pressure which the eye cannot withstand without damage to its structure or impairment of its function. The consequences of the increased pressure may be manifested in a variety of symptoms, depending upon type and severity, such as excavation of the optic disk, hardness of the eyeball, corneal anesthesia, reduced visual acuity, seeing of colored halos around lights, disturbed dark adaptation, visual field defects, and headaches. (Dictionary of Visual Science, 4th ed) Glaucomas
D006084 Graft Rejection An immune response with both cellular and humoral components, directed against an allogeneic transplant, whose tissue antigens are not compatible with those of the recipient. Transplant Rejection,Rejection, Transplant,Transplantation Rejection,Graft Rejections,Rejection, Graft,Rejection, Transplantation,Rejections, Graft,Rejections, Transplant,Rejections, Transplantation,Transplant Rejections,Transplantation Rejections
D006085 Graft Survival The survival of a graft in a host, the factors responsible for the survival and the changes occurring within the graft during growth in the host. Graft Survivals,Survival, Graft,Survivals, Graft
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

Ayad A Farjo, and Douglas J Rhee, and H Kaz Soong, and Roger F Meyer, and Alan Sugar
Implantation of scleral-sutured posterior chamber intraocular lenses during penetrating keratoplasty.
January 2000, Journal of refractive surgery (Thorofare, N.J. : 1995),
Ayad A Farjo, and Douglas J Rhee, and H Kaz Soong, and Roger F Meyer, and Alan Sugar
Iris-sutured posterior chamber lens dislocation late after penetrating keratoplasty.
August 1996, Archives of ophthalmology (Chicago, Ill. : 1960),
Ayad A Farjo, and Douglas J Rhee, and H Kaz Soong, and Roger F Meyer, and Alan Sugar
Anterior Chamber Stabilization in Combined Penetrating Keratoplasty With Scleral-Sutured Posterior Chamber Intraocular Lens Implantation.
August 2015, Cornea,
Ayad A Farjo, and Douglas J Rhee, and H Kaz Soong, and Roger F Meyer, and Alan Sugar
Long-term outcome of combined penetrating keratoplasty with scleral-sutured posterior chamber intraocular lens implantation.
August 2009, Cornea,
Ayad A Farjo, and Douglas J Rhee, and H Kaz Soong, and Roger F Meyer, and Alan Sugar
Penetrating keratoplasty with anterior or posterior chamber intraocular lens implantation.
October 1994, Archives of ophthalmology (Chicago, Ill. : 1960),
Ayad A Farjo, and Douglas J Rhee, and H Kaz Soong, and Roger F Meyer, and Alan Sugar
Long-term outcomes of combined penetrating keratoplasty with iris-sutured intraocular lens implantation.
May 2003, Ophthalmology,
Ayad A Farjo, and Douglas J Rhee, and H Kaz Soong, and Roger F Meyer, and Alan Sugar
Penetrating keratoplasty combined with posterior Artisan iris-fixated intraocular lens implantation.
April 2006, Acta ophthalmologica Scandinavica,
Ayad A Farjo, and Douglas J Rhee, and H Kaz Soong, and Roger F Meyer, and Alan Sugar
Penetrating keratoplasty and intraocular lens exchange: open-loop anterior chamber lenses versus sutured posterior chamber lenses.
September 1994, Cornea,
Ayad A Farjo, and Douglas J Rhee, and H Kaz Soong, and Roger F Meyer, and Alan Sugar
Combined penetrating keratoplasty, extracapsular cataract extraction, and posterior chamber intraocular lens implantation.
April 1987, Ophthalmic surgery,
Ayad A Farjo, and Douglas J Rhee, and H Kaz Soong, and Roger F Meyer, and Alan Sugar
Implantation of posterior chamber intraocular lenses in the absence of lens capsule during penetrating keratoplasty.
May 1989, Archives of ophthalmology (Chicago, Ill. : 1960),
Copied contents to your clipboard!