Penetrating keratoplasty for pseudophakic bullous keratopathy associated with semiflexible, closed-loop anterior chamber intraocular lenses.
We performed penetrating keratoplasty on 32 eyes that developed pseudophakic bullous keratopathy associated with closed-loop anterior chamber intraocular lenses. All lenses were exchanged at the time of keratoplasty. Seventeen patients received anterior chamber intraocular lenses and 15 patients had a posterior chamber lens sutured to the iris or sclera. Postoperatively, 13 of 32 eyes (41%) achieved a visual acuity of 20/100 or better, and 27 of 32 eyes (84%) had a clear graft. A high incidence of cystoid macular edema (eight cases), and graft rejection (seven cases) resulted in marked visual loss.
Insler
M S
MS
Louisiana State University Medical Center School of Medicine, LSU Eye Center, New Orleans 70112-2234.
Kook
M S
MS
Kaufman
H E
HE
D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000601:surgery; D002387:Cataract Extraction / Q000009:adverse effects; D003316:Corneal Diseases / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D016039:Corneal Transplantation; D004487:Edema / Q000209:etiology; D004867:Equipment Design; D006801:Humans; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008875:Middle Aged; D011183:Postoperative Complications; D011184:Postoperative Period; D014792:Visual Acuity