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I. Tran, N. Rocher, J.-L. Bourges, G. J. Renard, J.-M. Legeais; Evaluation of Graft Survival After Cataract Surgery: A Follow-Up of 6 Years. Invest. Ophthalmol. Vis. Sci. 2010;51(13):1133.
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© ARVO (1962-2015); The Authors (2016-present)
The aim of this study is to analyze the clinical results of two stage surgery.
Ten eyes of nine patients who underwent to stage surgery were studied retrospectively. The mean age of patients was 67 years (range 48-84), the mean interval between penetrating keratoplasty and IOL implantation was 6.6 years (range 0.83-16). Penetrating keratoplasty indications were keratoconus (30%), Fuchs endothelial dystrophy (30%), corneal scar (30%), and Schnyder dystrophy (10%). Preoperative data collected included BCVA, pachymetry and mesure of endothelial cells density with specular microscopy. Preoperative BCVA was ranged between 20/100 and 20/80. The average pachymetry was 610 µm (range 550-730) and the average endothelial cells density was 1010 cells (range 400-1800).
All patients had phacoemulsification and IOL implantation, the average follow-up after IOL implantation was 6.6 years (range 5-10). Ninety per cent of our patients had excellent visual rehabilitation (range 20/80-20/30) with the two stage surgery although the low density of endothelial cells and the long term follow-up.
It was safe and effective to perform phacoemulsification and IOL implantation after penetrating keratoplasty. Our results indicate that most of our patients may not be best served by an initial triple procedure.
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