Triple procedure 'a chaud'.
Although it is widely accepted that acute uveitis is the main contraindication for intrabulbar procedures, conditions in the presented group of 24 patients (mean age 63 years, ranging from 35 to 74) required immediate surgery. The corneal pathologies included: perforated corneal ulcer in 12, imminent corneal perforation in ten and corneal melting syndrome in two patients. Partial perforative keratoplasty was accompanied by various combinations of surgical procedures, depending on the preoperative status. In cases of aphakia (N = 5) and anterior chamber pseudophakia (N = 5) secondary PCIOL implantation with sulcus fixation was performed, combined with ACIOL explanation in the latter group. The largest group included patients with complicated cataract (N = 14), where classic triple procedure was performed in ten patients. In three patients, the surgery had to be completed with sulcus fixation of the PCIOL, due to posterior capsule rupture. Associated glaucoma in one patient required trabeculectomy along with triple procedure. Postoperative complications that could not be treated with conservative measures for subsequent corneal decompensation, required rekeratoplasty in three (12.5%) patients. Visual acuity amelioration, ranging from 0.2-0.8, was achieved in seven (29.2%) and nine (37.5%) patients after 3 and 6 months, respectively.
Gabrić
N
N
Department of Ophthalmology, Lions Croatian Eye Bank, Sveti Duh General Hostpital, Zagreb.
Henc-Petrinović
L
L
Dekaris
I
I
Busić
M
M
Bradetić
T
T
Petrinović-Doresić
J
J
D000328:Adult; D000368:Aged; D002386:Cataract / Q000150:complications; D002387:Cataract Extraction; D003316:Corneal Diseases / Q000150:complications / Q000601:surgery; D006801:Humans; D015948:Keratoplasty, Penetrating; D007910:Lenses, Intraocular; D008875:Middle Aged; D011183:Postoperative Complications; D014130:Trabeculectomy