title: Stabilized triple procedure for management of coexisting corneal opacity and cataract.
abstract: We describe a surgical technique combining penetrating keratoplasty and cataract surgery with a secure anterior chamber to manage coexisting corneal opacity and cataract. Lamellar corneal dissection is performed to 80% of the corneal depth to provide sufficient visibility for cataract surgery. Manual small-incision cataract extraction and intraocular lens implantation is performed through a frown-shaped scleral tunnel. Subsequently, 4 small penetrating incisions are made along the edge of the trephination mark at the 3, 6, 9, and 12 o'clock positions. A graft is placed on the ophthalmic viscosurgical device-coated stromal bed, and the 4 penetration sites are sutured. The stromal bed is cut along the trephination groove, the graft is sutured quadrant by quadrant, and the stromal bed is drawn out of the anterior chamber. The surgery is completed with 16 sutures.
authors.affiliation: From the School of Ophthalmology and Optometry (Chen, Ren, Zheng), Wenzhou Medical University, Zhejiang, and The Chinese University of Hong Kong (Jhanji), Hong Kong, China. Electronic address: chenweimd@hotmail.com.
authors.forename: Wei
authors.initials: W
authors.lastname: Chen
authors.affiliation: From the School of Ophthalmology and Optometry (Chen, Ren, Zheng), Wenzhou Medical University, Zhejiang, and The Chinese University of Hong Kong (Jhanji), Hong Kong, China.
authors.forename: Yueping
authors.initials: Y
authors.lastname: Ren
authors.affiliation: From the School of Ophthalmology and Optometry (Chen, Ren, Zheng), Wenzhou Medical University, Zhejiang, and The Chinese University of Hong Kong (Jhanji), Hong Kong, China.
authors.forename: Qinxiang
authors.initials: Q
authors.lastname: Zheng
authors.affiliation: From the School of Ophthalmology and Optometry (Chen, Ren, Zheng), Wenzhou Medical University, Zhejiang, and The Chinese University of Hong Kong (Jhanji), Hong Kong, China.
authors.forename: Vishal
authors.initials: V
authors.lastname: Jhanji
mesh_terms: D000328:Adult; D000368:Aged; D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction; D002452:Cell Count; D055954:Corneal Endothelial Cell Loss / Q000175:diagnosis; D003318:Corneal Opacity / Q000150:complications*; D004728:Endothelium, Corneal / Q000473:pathology; D005260:Female; D006801:Humans; D015948:Keratoplasty, Penetrating; D019654:Lens Implantation, Intraocular; D008297:Male; D014792:Visual Acuity