Intrascleral fibrin glue intraocular lens fixation combined with Descemet-stripping automated endothelial keratoplasty or penetrating keratoplasty

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• 作者：Rajesh Sinha ; Himanshu Shekhar ; Namrata Sharma ; Radhika T ; on ; Jeewan S. Titiyal ; Rasik B. Vajpayee
• 刊名：Journal of Cataract and Refractive Surgery
• 出版年：2012
• 出版时间：July, 2012
• 年：2012
• 卷：38
• 期：7
• 页码：1240-1245
• 全文大小：696 K

文摘

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ss=""h4"">Purpose

To evaluate the outcomes of intrascleral haptic fixation of an intraocular lens (IOL) with fibrin glue combined with penetrating keratoplasty (PKP) or Descemet-stripping automated endothelial keratoplasty (DSAEK) for aphakic or pseudophakic bullous keratopathy (BKP).

ss=""h4"">Setting

Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

ss=""h4"">Design

Case series.

ss=""h4"">Methods

Eyes with BKP had combined PKP or DSAEK with fibrin glue-assisted intrascleral posterior chamber (PC) IOL fixation; PKP was performed in eyes with a corneal scar and DSAEK in eyes without a scar. The parameters evaluated were corrected distance visual acuity (CDVA), anterior segment biomicroscopy, intraocular pressure, central corneal thickness (CCT), and IOL status. Intraoperative events and postoperative complications were recorded.

ss=""h4"">Results

The study evaluated 11 patients (11 eyes). Intrascleral fixation of a PC IOL with PKP or DSAEK was successfully performed in all eyes; PKP was performed in 6 eyes (54.54 % ) and DSAEK in 5 eyes. The mean CDVA improved from 1.95 logMAR ¡À 0.29 (SD) to 0.40 ¡À 0.16 logMAR (P<.001). The mean CCT was 0.741 ¡À 0.71 mm preoperatively and 0.579 ¡À 0.20 mm postoperatively (P<.001). There were no cases of intraoperative or postoperative IOL decentration or other complications.

ss=""h4"">Conclusions

Fibrin glue-assisted intrascleral fixation of a PC IOL combined with DSAEK or PKP was a safe, effective method to manage BKP with aphakia or malpositioned IOLs. The IOL fixation was strong enough to sustain the manipulation required for corneal procedures.

ss=""h4"">Financial Disclosure

No author has a financial or proprietary interest in any material or method mentioned.