title: Epikeratophakia for correction of complicated aphakia.
abstract: We reviewed the cases of 21 patients (22 eyes) who underwent epikeratophakia for aphakia with at least 4 months' follow-up. Thirteen had traumatic cataracts, six had relative contraindications for implantation of an intraocular lens (IOL), one had a dislocated IOL and one had bilateral congenital cataracts. The mean best corrected visual acuity was 20/32.0 (range 20/20 to 20/70) before surgery and 20/38.6 (range 20/20 to 20/70) after surgery. The uncorrected visual acuity improved in all eyes. Twenty eyes (91%) were within two lines of the preoperative best corrected acuity; all eyes were within four lines. Twenty eyes were within 3.0 dioptres of emmetropia postoperatively; all eyes were within 5.0 dioptres of emmetropia. No serious complications were encountered. We conclude that epikeratophakia is a good alternative for the correction of aphakia.
authors.affiliation: Department of Ophthalmology, University of Toronto, Ont.
authors.forename: C
authors.initials: C
authors.lastname: Francis
authors.forename: D S
authors.initials: DS
authors.lastname: Rootman
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001036:Aphakia, Postcataract / Q000209:etiology / Q000601:surgery*; D002386:Cataract / Q000209:etiology; D003261:Contact Lenses / Q000009:adverse effects; D016039:Corneal Transplantation / Q000379:methods*; D005131:Eye Injuries / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007908:Lens, Crystalline / Q000293:injuries; D007910:Lenses, Intraocular / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D014792:Visual Acuity