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Sequential Surgery May Be the Best Approach for the Patient

Arch Ophthalmol. 2000;118:415-417.

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

THE OCCURRENCE of cataract in the setting of visually significant corneal opacification, such as in Fuchs corneal dystrophy, is not uncommon. In this situation, surgical correction of either single cause of media opacity alone is generally insufficient to visually rehabilitate the patient completely. In 1976, Taylor¹ described treatment of these types of patients in which extracapsular cataract extraction (ECCE) and intraocular lens (IOL) insertion were combined with penetrating keratoplasty (PK) as a simultaneous operation, the "triple procedure." Since its description, many surgeons have adopted this approach for the management of simultaneous corneal disease and cataract. While this operation offers convenience in that correction of corneal and lens opacities occur at one sitting, is the simultaneous approach really the best alternative for the patient? What should be the benchmark for deciding the success of the triple procedure? With developments in eye banking and microsurgical techniques for corneal transplantation and astigmatism treatment, . . . [Full Text of this Article]

SAFETY


ACCURACY
M. Bowes Hamill, MD
Houston, Tex

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

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