Results of Penetrating Keratoplasty in 123 Eyes with Pseudophakic or Aphakic Corneal Edema
The clinical records of 123 eyes that received a penetrating keratoplasty for aphakic or pseudophakic corneal edema with a mean follow-up time of 18 months were studied retrospectively. Thirty-five eyes from which an intraocular lens (IOL—85% iris fixated) was removed at the time of keratoplasty wer...
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| Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 1983-01, Vol.90 (1), p.25-33 |
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| container_title | Ophthalmology (Rochester, Minn.) |
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| creator | Waring, George O. Welch, Spencer N. Cavanagh, H. Dwight Wilson, Louis A. |
| description | The clinical records of 123 eyes that received a penetrating keratoplasty for aphakic or pseudophakic corneal edema with a mean follow-up time of 18 months were studied retrospectively. Thirty-five eyes from which an intraocular lens (IOL—85% iris fixated) was removed at the time of keratoplasty were compared with 88 eyes that never had an IOL. The mean interval between initial cataract surgery and penetrating keratoplasty was 28 months for the pseudophakic group from which the IOL was removed and 67 months for the aphakic group without IOL. In both groups, 97% had an anterior vitrectomy. Corneal grafts remained clear in 91% of the previously pseudophakic eyes and in 81% of the aphakic eyes (P ≤ 0.05). The final corrected visual acuity was worse in the pseudophakic eyes with IOL removed (16% saw 6/6 to 6/12 while 22% saw worse than 6/60) than in the aphakic eyes (34% saw 6/6 to 6/12 while 7% saw worse than 6/60). Postoperative maculopathy occurred in 43% of eyes from which IOLs were removed and in 22% of aphakic eyes. |
| doi_str_mv | 10.1016/S0161-6420(83)34606-6 |
| format | Article |
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Dwight ; Wilson, Louis A.</creator><creatorcontrib>Waring, George O. ; Welch, Spencer N. ; Cavanagh, H. Dwight ; Wilson, Louis A.</creatorcontrib><description>The clinical records of 123 eyes that received a penetrating keratoplasty for aphakic or pseudophakic corneal edema with a mean follow-up time of 18 months were studied retrospectively. Thirty-five eyes from which an intraocular lens (IOL—85% iris fixated) was removed at the time of keratoplasty were compared with 88 eyes that never had an IOL. The mean interval between initial cataract surgery and penetrating keratoplasty was 28 months for the pseudophakic group from which the IOL was removed and 67 months for the aphakic group without IOL. In both groups, 97% had an anterior vitrectomy. Corneal grafts remained clear in 91% of the previously pseudophakic eyes and in 81% of the aphakic eyes (P ≤ 0.05). The final corrected visual acuity was worse in the pseudophakic eyes with IOL removed (16% saw 6/6 to 6/12 while 22% saw worse than 6/60) than in the aphakic eyes (34% saw 6/6 to 6/12 while 7% saw worse than 6/60). Postoperative maculopathy occurred in 43% of eyes from which IOLs were removed and in 22% of aphakic eyes.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/S0161-6420(83)34606-6</identifier><identifier>PMID: 6338435</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; aphakia ; Aphakia, Postcataract - complications ; aphakic bullous keratopathy ; cornea ; Corneal Diseases - etiology ; corneal edema ; Corneal Transplantation ; cystoid macular edema ; Edema - etiology ; Female ; Follow-Up Studies ; Graft Survival ; Humans ; intraocular lens ; keratoplasty ; Lenses, Intraocular - adverse effects ; Macula Lutea ; Male ; Methods ; Middle Aged ; Postoperative Complications - epidemiology ; pseudophakia ; Retinal Diseases - epidemiology ; Retrospective Studies ; Time Factors ; Visual Acuity</subject><ispartof>Ophthalmology (Rochester, Minn.), 1983-01, Vol.90 (1), p.25-33</ispartof><rights>1983 American Academy of Ophthalmology, Inc</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-1d723901c0cae93205d387c7363c1baa900e05fb306516351783f0c8c53bb5843</citedby><cites>FETCH-LOGICAL-c360t-1d723901c0cae93205d387c7363c1baa900e05fb306516351783f0c8c53bb5843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0161-6420(83)34606-6$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6338435$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Waring, George O.</creatorcontrib><creatorcontrib>Welch, Spencer N.</creatorcontrib><creatorcontrib>Cavanagh, H. Dwight</creatorcontrib><creatorcontrib>Wilson, Louis A.</creatorcontrib><title>Results of Penetrating Keratoplasty in 123 Eyes with Pseudophakic or Aphakic Corneal Edema</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>The clinical records of 123 eyes that received a penetrating keratoplasty for aphakic or pseudophakic corneal edema with a mean follow-up time of 18 months were studied retrospectively. Thirty-five eyes from which an intraocular lens (IOL—85% iris fixated) was removed at the time of keratoplasty were compared with 88 eyes that never had an IOL. The mean interval between initial cataract surgery and penetrating keratoplasty was 28 months for the pseudophakic group from which the IOL was removed and 67 months for the aphakic group without IOL. In both groups, 97% had an anterior vitrectomy. Corneal grafts remained clear in 91% of the previously pseudophakic eyes and in 81% of the aphakic eyes (P ≤ 0.05). The final corrected visual acuity was worse in the pseudophakic eyes with IOL removed (16% saw 6/6 to 6/12 while 22% saw worse than 6/60) than in the aphakic eyes (34% saw 6/6 to 6/12 while 7% saw worse than 6/60). Postoperative maculopathy occurred in 43% of eyes from which IOLs were removed and in 22% of aphakic eyes.</description><subject>Aged</subject><subject>aphakia</subject><subject>Aphakia, Postcataract - complications</subject><subject>aphakic bullous keratopathy</subject><subject>cornea</subject><subject>Corneal Diseases - etiology</subject><subject>corneal edema</subject><subject>Corneal Transplantation</subject><subject>cystoid macular edema</subject><subject>Edema - etiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>intraocular lens</subject><subject>keratoplasty</subject><subject>Lenses, Intraocular - adverse effects</subject><subject>Macula Lutea</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Postoperative Complications - epidemiology</subject><subject>pseudophakia</subject><subject>Retinal Diseases - epidemiology</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Visual Acuity</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRS0EglL4BCSvECwC407spCuEqvIQlUA8Nmwsx5mAIY2LnYD69wRasWUWM1eal-5h7EDAiQChTh_6JBKVjuAox2NMFahEbbCBkOk4STOBm2zwN7LDdmN8AwClMN1m2woxT1EO2PM9xa5uI_cVv6OG2mBa17zwG-qFX9QmtkvuGi5GyKdLivzLta_8LlJX-sWreXeW-8DP13LiQ0Om5tOS5maPbVWmjrS_rkP2dDF9nFwls9vL68n5LLGooE1EmY1wDMKCNTTGEcgS88xmqNCKwpgxAIGsCgQlhUIpshwrsLmVWBSydzFkh6u7i-A_Ooqtnrtoqa5NQ76LOgfMJfYxZHI1aIOPMVClF8HNTVhqAfqHqf5lqn-A6Rz1L1Ot-r2D9YOumFP5t7WG2PfPVn3qXX46CjpaR42l0gWyrS69--fDN4ZVhIg</recordid><startdate>198301</startdate><enddate>198301</enddate><creator>Waring, George O.</creator><creator>Welch, Spencer N.</creator><creator>Cavanagh, H. Dwight</creator><creator>Wilson, Louis A.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198301</creationdate><title>Results of Penetrating Keratoplasty in 123 Eyes with Pseudophakic or Aphakic Corneal Edema</title><author>Waring, George O. ; Welch, Spencer N. ; Cavanagh, H. Dwight ; Wilson, Louis A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-1d723901c0cae93205d387c7363c1baa900e05fb306516351783f0c8c53bb5843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Aged</topic><topic>aphakia</topic><topic>Aphakia, Postcataract - complications</topic><topic>aphakic bullous keratopathy</topic><topic>cornea</topic><topic>Corneal Diseases - etiology</topic><topic>corneal edema</topic><topic>Corneal Transplantation</topic><topic>cystoid macular edema</topic><topic>Edema - etiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Graft Survival</topic><topic>Humans</topic><topic>intraocular lens</topic><topic>keratoplasty</topic><topic>Lenses, Intraocular - adverse effects</topic><topic>Macula Lutea</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Postoperative Complications - epidemiology</topic><topic>pseudophakia</topic><topic>Retinal Diseases - epidemiology</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Waring, George O.</creatorcontrib><creatorcontrib>Welch, Spencer N.</creatorcontrib><creatorcontrib>Cavanagh, H. Dwight</creatorcontrib><creatorcontrib>Wilson, Louis A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Waring, George O.</au><au>Welch, Spencer N.</au><au>Cavanagh, H. Dwight</au><au>Wilson, Louis A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of Penetrating Keratoplasty in 123 Eyes with Pseudophakic or Aphakic Corneal Edema</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>1983-01</date><risdate>1983</risdate><volume>90</volume><issue>1</issue><spage>25</spage><epage>33</epage><pages>25-33</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><abstract>The clinical records of 123 eyes that received a penetrating keratoplasty for aphakic or pseudophakic corneal edema with a mean follow-up time of 18 months were studied retrospectively. Thirty-five eyes from which an intraocular lens (IOL—85% iris fixated) was removed at the time of keratoplasty were compared with 88 eyes that never had an IOL. The mean interval between initial cataract surgery and penetrating keratoplasty was 28 months for the pseudophakic group from which the IOL was removed and 67 months for the aphakic group without IOL. In both groups, 97% had an anterior vitrectomy. Corneal grafts remained clear in 91% of the previously pseudophakic eyes and in 81% of the aphakic eyes (P ≤ 0.05). The final corrected visual acuity was worse in the pseudophakic eyes with IOL removed (16% saw 6/6 to 6/12 while 22% saw worse than 6/60) than in the aphakic eyes (34% saw 6/6 to 6/12 while 7% saw worse than 6/60). Postoperative maculopathy occurred in 43% of eyes from which IOLs were removed and in 22% of aphakic eyes.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>6338435</pmid><doi>10.1016/S0161-6420(83)34606-6</doi><tpages>9</tpages></addata></record> |
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| ispartof | Ophthalmology (Rochester, Minn.), 1983-01, Vol.90 (1), p.25-33 |
| issn | 0161-6420 1549-4713 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged aphakia Aphakia, Postcataract - complications aphakic bullous keratopathy cornea Corneal Diseases - etiology corneal edema Corneal Transplantation cystoid macular edema Edema - etiology Female Follow-Up Studies Graft Survival Humans intraocular lens keratoplasty Lenses, Intraocular - adverse effects Macula Lutea Male Methods Middle Aged Postoperative Complications - epidemiology pseudophakia Retinal Diseases - epidemiology Retrospective Studies Time Factors Visual Acuity |
| title | Results of Penetrating Keratoplasty in 123 Eyes with Pseudophakic or Aphakic Corneal Edema |
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