Pseudophakic keratoplasty: posterior chamber lens implantation in the presence of ruptured capsule.
A technique is described for implantation of a posterior chamber intraocular lens during keratoplasty for bullous keratopathy when a large capsulotomy and vitreous prolapse are present. Seven cases of pseudophakic or aphakic bullous keratopathy with anterior chamber, iris-fixated, or no intraocular lens in place are reported. A completely intact posterior capsule is not necessary to support safely a sulcus-fixated posterior chamber lens. Anterior segment reconstruction, careful removal of existing intraocular lenses (except a posterior chamber lens), vitrectomy through the ruptured posterior capsule, and assessment of the remaining posterior capsule rim are important surgical objectives.
Smith
R E
RE
Beatty
R F
RF
Clifford
W S
WS
D001036:Aphakia, Postcataract / Q000150:complications; D003316:Corneal Diseases / Q000209:etiology / Q000601:surgery*; D016039:Corneal Transplantation; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000293:injuries*; D007908:Lens, Crystalline / Q000293:injuries*; D007910:Lenses, Intraocular; D012421:Rupture