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Article
October 1990

Clinical and Morphometric Results of Penetrating Keratoplasty With One-Piece Anterior-Chamber or Suture-Fixated Posterior-Chamber Lenses in the Absence of Lens Capsule

Author Affiliations

From the Division of Ophthalmology (Drs Lass, DeSantis, and Reinhart and Mr Hossain) and the Department of Epidemiology and Biostatistics (Dr Hom), Case Western Reserve University and University Hospitals of Cleveland, Ohio.

Arch Ophthalmol. 1990;108(10):1427-1431. doi:10.1001/archopht.1990.01070120075032
Abstract

• The clinical records and serial corneal endothelial images of 25 acapsular, pseudophakic eyes with Kelman-style, one-piece, anterior-chamber intraocular lenses and 24 acapsular, pseudophakic eyes with suture-fixated, posterior-chamber intraocular lenses following penetrating keratoplasty were reviewed to determine clinical success and endothelial survival after 1 year. Twenty-two (88%) of 25 grafts in the anterior-chamber intraocular lens group and 23 (96%) of 24 grafts in the sutured posterior-chamber intraocular lens group were clear after 1 year; best corrected visual acuity of 20/40 or better was noted in 25% of the eyes in the anterior-chamber intraocular lens group and 29% of the eyes in the sutured posterior-chamber intraocular lens group. The mean intraocular pressure for the anterior-chamber intraocular lens group was significantly lower than for the sutured posterior-chamber intraocular lens group at 3 months (17 ± 4 vs 21 ± 7 mm Hg) and at 6 months (17 ± 3 vs 20 ± 5 mm Hg), but did not differ at 1 year. The mean percent of endothelial cell loss after 1 year did not differ between the anterior-chamber intraocular lens group (32% ± 26%) and the sutured posteriorchamber intraocular lens group (27% ± 26%). No clinical or endothelial morphometric advantages were noted after 1 year for the suture-fixated, posterior-chamber intraocular lens over the Kelman-style, one-piece anterior chamber, intraocular lens following pseudophakic penetrating keratoplasty; however, a long-term, prospective, randomized study of these two intraocular lens types is recommended.

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