Cataract surgery combined with ocular surface reconstruction in patients with severe cicatricial keratoconjunctivitis.
OBJECTIVE
To present the technique and outcome of cataract surgery combined with ocular surface reconstruction in patients with severe cicatricial keratoconjunctivitis.


METHODS
Department of Ophthalmology, Tokyo Dental College, Chiba, Japan.


METHODS
Phacoemulsification with transplantation of a limbal allograft and an amniotic membrane was performed in 4 eyes of 3 patients with cataract and end-stage cicatricial keratoconjunctivitis. The surgical technique and the improvements in visual acuity were reviewed. The follow-up ranged from 13 to 27 months.


RESULTS
Phacoemulsification and intraocular lens implantation were performed in all cases without intraoperative complications. In 3 of the 4 eyes, the best corrected visual acuity improved from hand motions to 20/100, hand motions to 20/30, and counting fingers to 20/50. The visual acuity recovered to 20/60 postoperatively in 1 eye in which the preoperative visual acuity was light perception; at 1 year, the visual acuity decreased to hand motions because of recurrent fibrous tissue over the cornea.


CONCLUSIONS
Small-incision phacoemulsification was performed safely in combination with ocular surface reconstruction in patients with cataract and end-stage cicatricial keratoconjunctivitis.
Bissen-Miyajima
Hiroko
H
Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital, Tokyo, Japan.
Monden
Yu
Y
Shimazaki
Jun
J
Tsubota
Kazuo
K
D002386:Cataract / Q000150:complications; D002387:Cataract Extraction; D002921:Cicatrix / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D007637:Keratoconjunctivitis / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D013508:Ophthalmologic Surgical Procedures; D018918:Phacoemulsification; D012720:Severity of Illness Index; D016896:Treatment Outcome