title: Comparison of intraocular lens fixation techniques performed during penetrating keratoplasty.
abstract: We reviewed the charts of 41 patients who had undergone penetrating keratoplasty, anterior vitrectomy, and placement or exchange of an intraocular lens during a two-year period with a median follow-up time of 15 months (range, five to 26 months). The median preoperative visual acuity was 20/400 (range, 20/40 to hand motions). The median postoperative visual acuity was 20/70 (range, 20/25 to hand motions). Of 41 corneal grafts, 38 (93%) remained clear. New intraocular lenses were inserted by anterior chamber, iris, or transscleral fixation. The median visual acuity was 20/70 for the anterior chamber lens group, 20/100 for the iris fixation group, and 20/70 for the transscleral fixation group. Analysis of variance demonstrated no significant difference by type of fixation in postoperative visual acuity, central corneal thickness, and intraocular pressure.
authors.affiliation: Department of Ophthalmology, University of South Carolina School of Medicine, Columbia.
authors.forename: R M
authors.initials: RM
authors.lastname: Davis
authors.forename: D
authors.initials: D
authors.lastname: Best
authors.forename: G E
authors.initials: GE
authors.lastname: Gilbert
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D000867:Anterior Chamber / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007498:Iris / Q000601:surgery; D015948:Keratoplasty, Penetrating; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D012590:Sclera / Q000601:surgery; D013997:Time Factors; D014792:Visual Acuity; D014821:Vitrectomy