Corneal opacity and cataract: Triple procedure versus secondary approach

Shigeto Shimmura, Yoshie Ohashi, Hiroki Shiroma, Jun Shimazaki, Kazuo Tsubota

研究成果: Article

29 引用 (Scopus)

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Purpose. To determine the efficacy of planned secondary cataract surgery after keratoplasty. Methods. Twenty patients (22 eyes) with simultaneous corneal pathology and cataract were enrolled in a prospective, interventional, case-matched, nonrandomized comparative trial. Penetrating keratoplasty (PKP) and extracapsular cataract extraction (ECCE) with IOL insertion (triple procedure) were performed in 11 eyes, and planned phacoemulsification (PEA) with IOL insertion after PKP was performed in 11 case-matched eyes. Results. There were 10 eyes (91%) within ± 2.0 D of expected values in the secondary PEA group versus 5 patients (45%) in the triple procedure group. No difference was observed in endothelial cell density after 1-year follow-up. Conclusions. Planning for secondary PEA in PKP patients with cataracts is a safe and reliable procedure to obtain less post surgical refractive error. Performing a two-stage intervention has no effect on corneal endothelial viability after 1 year.

元の言語English
ページ(範囲)234-238
ページ数5
ジャーナルCornea
22
発行部数3
DOI
出版物ステータスPublished - 2003 4 1
外部発表Yes

ASJC Scopus subject areas

  • Ophthalmology

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