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Piggyback intraocular lens implantation to correct myopic pseudophakic refractive error after penetrating keratoplasty.
- Source :
-
Journal of cataract and refractive surgery [J Cataract Refract Surg] 2004 Apr; Vol. 30 (4), pp. 821-5. - Publication Year :
- 2004
-
Abstract
- Purpose: To determine the safety and efficacy of implanting a second intraocular lens (IOL) to correct myopic pseudophakic refractive error after penetrating keratoplasty (PKP).<br />Setting: Department of Ophthalmology, Toronto Western Hospital, Toronto, Ontario, Canada.<br />Methods: In this retrospective case series, 6 eyes of 6 post-PKP pseudophakic patients had a second piggyback IOL implantation to correct a residual myopic refractive error. The uncorrected visual acuity (UCVA) and the best corrected visual acuity (BCVA) were measured at regular intervals during a 7-month follow-up. Efficacy was determined by the achieved refractive correction and Snellen UCVA measurements. Safety was measured by loss of BCVA and complications (intraoperative and postoperative).<br />Results: The UCVA improved in all cases. Five patients achieved a BCVA of 20/40 or better postoperatively. Before surgery, the mean spherical equivalent (SE) was -8.08 diopters (D) (range -6.13 to -12.00 D). After surgery, the mean SE was -0.94 D (range -2.38 to +0.25 D). Four patients were within +/-1.50 D of emmetropia. There were no intraoperative or postoperative complications.<br />Conclusion: Implanting a piggyback IOL was a safe and effective means of correcting myopic pseudophakic refractive error post PKP.
- Subjects :
- Aged
Aged, 80 and over
Female
Humans
Intraoperative Complications
Middle Aged
Myopia etiology
Pseudophakia etiology
Refraction, Ocular
Retrospective Studies
Safety
Visual Acuity
Keratoplasty, Penetrating
Lens Implantation, Intraocular methods
Myopia surgery
Postoperative Complications
Pseudophakia surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0886-3350
- Volume :
- 30
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of cataract and refractive surgery
- Publication Type :
- Academic Journal
- Accession number :
- 15093644
- Full Text :
- https://doi.org/10.1016/j.jcrs.2003.08.008