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Abstract #15621 Published in IGR 1-3

Surgical management of coexisting pseudophakic bullous keratopathy and glaucoma

Wearne MJ; Claoue C
Journal of Cataract and Refractive Surgery 1999; 25: 1317-1320


This technique is a one-step surgical management approach for patients with pseudophakic bullous keratopathy, glaucoma, and an unsatisfactory intraocular lens (IOL). The outcome of four consecutive patients who had penetrating keratoplasty, IOL removal, vitrectomy, transscleral sutured IOL implantation, and trabeculectomy by the same surgeon were reviewed. All patients had had intracapsular cataract extraction with anterior chamber IOL implantation and were on antiglaucoma therapy. Main outcome measures were Snellen visual acuity and intraocular pressure. A one-stage quintuple procedure can achieve relatively rapid visual rehabilitation in these high-risk eyes. The role of filtration surgery is controversial, but it was partially successful in controlling postoperative intraocular pressure.

Dr. C. Claoue, PO Box 12650, London SE3 9ZZ; UK


Classification:

12.20 Other (Part of: 12 Surgical treatment)



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