Scleral fixation of intraocular lenses combined with penetrating keratoplasty.
I describe a technique for transscleral fixation of a posterior chamber intraocular lens (PC IOL) combined with penetrating keratoplasty. Partial-thickness trephination of the cornea is followed by full-thickness penetration of the anterior chamber at 12 o'clock and 6 o'clock through 5.5 and 2.0mm incisions, respectively. Scleral fixation of a PC IOL is performed through the incisions under a closed chamber followed by replacement of the diseased graft with a donor button. The results in 5 eyes of 5 patients with aphakic bullous keratopathy and lack of capsule support are reported.
Al-Qahtani
Fahad A
FA
Department of Ophthalmology, Hamad Medical Corporation, Doha, Qatar. famq@usa.net
D000328:Adult; D000368:Aged; D001036:Aphakia, Postcataract / Q000601:surgery; D003316:Corneal Diseases / Q000601:surgery; D005260:Female; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000379:methods*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures; D055815:Young Adult
D011126:Polypropylenes