Results of anterior segment reconstruction for aphakic and pseudophakic corneal edema.
The authors studied prospectively 59 eyes with corneal edema after cataract surgery that required reconstructive surgery; penetrating keratoplasty in 59 (100%), anterior vitrectomy in 42 (71%), intraocular lens removal or exchange in 33 (56%), gonioplasty in 32 (54%), and iridoplasty in 30 (51%). With an average follow-up of 9.9 months, the corneal transplant was clear in 56 eyes (95%). The corrected visual acuity was improved in 49 eyes (83%) and was the same in seven eyes (12%). Intraocular pressure was less than or equal to 21 mmHg in 47 eyes (80%) and 22 to 29 mmHg in nine eyes (15%). The peripheral anterior synechiae score was the same or improved in 56 eyes (95%). Cystoid macular edema was absent to mild in 52 eyes (88%). Anterior segment reconstruction improved both anatomic integrity and visual acuity of most eyes without increasing complications.
Waring
G O
GO
Cornea Service, Emory University School of Medicine, Atlanta, GA 30322.
Kenyon
K R
KR
Gemmill
M C
MC
D000368:Aged; D000369:Aged, 80 and over; D000869:Anterior Eye Segment / Q000601:surgery*; D001036:Aphakia, Postcataract / Q000150:complications*; D003316:Corneal Diseases / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D004487:Edema / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005128:Eye Diseases / Q000473:pathology; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D007910:Lenses, Intraocular; D008266:Macula Lutea / Q000473:pathology; D008269:Macular Edema / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D000267:Tissue Adhesions / Q000473:pathology