Epikeratophakia to correct traumatic aphakia after penetrating keratoplasty.
A 19-year-old man with keratoconus sustained ocular trauma and became aphakic in his operated left eye 2 months after penetrating keratoplasty. Original corneal wound repair was performed without intraocular lens implantation. Attempts to correct his aphakia with a contact lens failed when the patient became intolerant to its use. As an alternative, the patient had elective epikeratophakia. A standard 8.5 mm lenticule was placed over existing corneal graft. This operation resulted in +12.25 diopters of correction and a best corrected visual acuity of 20/25 at 30 months postoperatively. There was no sign of abnormalities at the host cornea or the transplanted lenticule. This case indicates that epikeratophakia may be successfully performed over existing corneal grafts.
Au
Y K
YK
Department of Ophthalmology, Louisiana State University Medical Center, Shreveport 71130, USA.
Lucius
R W
RW
Patel
J S
JS
D000328:Adult; D001036:Aphakia, Postcataract / Q000209:etiology / Q000601:surgery*; D017391:Epikeratophakia; D005131:Eye Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007640:Keratoconus / Q000601:surgery; D015948:Keratoplasty, Penetrating; D007908:Lens, Crystalline / Q000293:injuries*; D007910:Lenses, Intraocular; D008297:Male; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000209:etiology; D014792:Visual Acuity