Penetrating Keratoplasty With Anterior or Posterior Chamber Intraocular Lens Implantation
Isabelle Brunette, MD;
R. Doyle Stulting, MD, PhD;
James R. Rinne, MD;
George O. Waring III, MD;
Mary Gemmil, COMT
Arch Ophthalmol. 1994;112(10):1311-1319.
Abstract
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Objective
To compare the outcome of anterior chamber (AC) intraocular lens (IOL) implantation with the outcome of posterior chamber (PC) IOL implantation at the time of penetrating keratoplasty in the absence of capsular support.
Design
Retrospective study of 122 eyes that underwent secondary IOL implantation without capsular support at the time of penetrating keratoplasty. Ninety eyes received an AC IOL and 32 received a PC IOL sutured to the iris or the ciliary sulcus.
Results
Survival analysis showed the probability of a clear graft to be 86% for eyes with an AC IOL and 90% for eyes with a PC IOL at 1 year. Intraocular pressure rose by 5 mm Hg or more in 30% of eyes with AC IOLs and 5% of eyes with PC IOLs. Visual acuity was better than 20/200 in 48% of eyes with AC IOLs and 68% of eyes with PC IOLs.
Conclusion
This study demonstrated a trend for a better outcome with PC IOLs than AC IOLs for secondary implantation at time of penetrating keratoplasty in the absence of capsular support.
Author Affiliations
From the Emory Eye Center, Emory University School of Medicine, Atlanta, Ga. Dr Brunette is now with Maisonneuve-Rosemont Hospital, University of Montreal (Quebec). None of the authors has a proprietary interest in any commercial products mentioned in this article.
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