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The Triple Procedure May Be Superior to Sequential Surgery

Arch Ophthalmol. 2000;118:414-415.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

THE TRIPLE procedure (combined penetrating keratoplasty [PK], cataract extraction, and intraocular lens [IOL] implantation) is a well-established and effective surgical treatment for patients with both corneal and lenticular opacities. First described by Taylor¹ in 1976, the procedure has evolved considerably. The prognosis for a clear graft after the triple procedure is excellent, and studies have shown that there is no significant increase in endothelial cell loss when corneal transplantation is combined with cataract surgery. In many instances, combining PK with cataract surgery is preferable to performing these procedures sequentially.

Combined surgery allows for faster visual rehabilitation. Most patients are able to receive their final optical correction by 8 months after undergoing the triple procedure. This is in contrast to a patient who must wait after undergoing PK until the time they undergo cataract surgery or secondary IOL implantation for appropriate correction, a period of potentially 2 years. Additionally, many of . . . [Full Text of this Article]

Elizabeth A. Davis, MD; Walter J. Stark, MD
Baltimore, Md

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

In Favor of the Triple Procedure
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Arch Ophthalmol 2001;119:1223-1224.
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