Results of penetrating keratoplasty for aphakic and pseudophakic bullous keratopathy.

We retrospectively studied 61 consecutive cases of penetrating keratoplasty performed for aphakic bullous keratopathy or pseudophakic bullous keratopathy. After keratoplasty, the mean visual acuities of both groups of patients improved significantly from preoperative levels (P less than .0001). One year after keratoplasty, 18 eyes had visual acuities of 20/40 or better. Twelve of the 24 eyes followed up for at least two years after surgery had visual acuities of 20/40 or better. The mean visual acuities for the eyes with aphakic bullous keratopathy and the eyes with pseudophakic bullous keratopathy were not significantly different at either one or two years after keratoplasty. Cystoid macular edema (11 eyes) and glaucoma (12 eyes) were the most common causes of visual acuities worse than 20/40. There were no significant differences in the incidences of these complications in the group with aphakic bullous keratopathy and in the group with pseudophakic bullous keratopathy. Intraocular lens removal did not significantly affect either visual acuity or macular complications after keratoplasty.

[1]  H. Kaufman,et al.  Prognostic factors of intraocular pressure after aphakic keratoplasty. , 1978, American journal of ophthalmology.

[2]  B. Schwartz,et al.  Cataract surgery in the United States, 1968--1976. A descriptive epidemiologic study. , 1980, Ophthalmology.

[3]  A. Devoe.  Keratoplasty: past, present, and future. , 1961, Archives of ophthalmology.

[4]  F. Polack.  Management of anterior segment complications of intraocular lenses. , 1980, Ophthalmology.

[5]  G. Kaufer.  The results of 1000 intracapsular cataract extraction with the suture-fixated Medallion lens implant. , 1981, Ophthalmic surgery.

[6]  P. Binder,et al.  Visual prognosis in pseudophakic corneal transplants. , 1981, Ophthalmic surgery.

[7]  R. Castroviejo.  Indications and Contraindications for Keratoplasty and Keratectomies. , 1946, Transactions of the American Ophthalmological Society.

[8]  W. K. Harms,et al.  Visual prognosis in aphakic bullous keratopathy treated by penetrating keratoplasty: a retrospective study of 73 cases. , 1981, Ophthalmic surgery.

[9]  T. Thomas.  Considerations affecting technique and results in keratoplasty. , 1959, Transactions of the ophthalmological societies of the United Kingdom.

[10]  R. Laing,et al.  Corneal edema secondary to vitreocorneal contact. , 1981, Archives of ophthalmology.

[11]  T. Olsen.  POST‐OPERATIVE CHANGES IN THE ENDOTHELIAL CELL DENSITY OF CORNEAL GRAFTS , 1981 .

[12]  S. Waltman,et al.  Visual results after penetrating keratoplasty for aphakic bullous keratopathy and Fuchs' dystrophy. , 1979, American journal of ophthalmology.

[13]  R. E. Smith,et al.  Penetrating keratoplasty: changing indications, 1947 to 1978. , 1980, Archives of ophthalmology.

[14]  R. Drews.  Inflammatory response, endophthalmitis, corneal dystrophy, glaucoma, retinal detachment, dislocation, refractive error, lens removal, and enucleation. , 1978, Ophthalmology.

[15]  P. Laibson,et al.  Surgical management of pseudophakic corneal edema: complications and visual results following penetrating keratoplasty. , 1982, Ophthalmic surgery.

[16]  M. Fine.  Keratoplasty for bullous keratopathy with intraocular lens. , 1978, Journal - American Intra-Ocular Implant Society.

[17]  C. Nielsen.  PROSTAGLANDIN INHIBITION AND CENTRAL CORNEAL THICKNESS AFTER CATARACT EXTRACTION , 1982, Acta ophthalmologica.

[18]  S. Waltman.  Penetrating keratoplasty for pseudophakic bullous keratopathy. Visual results. , 1981, Archives of ophthalmology.

[19]  J. Aquavella,et al.  Long-term changes in corneal endothelium following intraocular lens implantation. , 1981, Ophthalmology.

[20]  Polack Fm.  Keratoplasty in aphakic eyes with corneal edema. Results in 100 cases with 10-year followup. , 1980 .

[21]  L. Wilson,et al.  Results of penetrating keratoplasty in 123 eyes with pseudophakic or aphakic corneal edema. , 1983, Ophthalmology.

[22]  R. Drews.  Intermittent touch syndrome. , 1982, Archives of ophthalmology.

[23]  A. Sugar,et al.  Penetrating keratoplasty in pseudophakic bullous keratopathy. , 1980, American journal of ophthalmology.

[24]  S. G. Kramer.  Cystoid macular edema after aphakic penetrating keratoplasty. , 1981, Ophthalmology.

[25]  C. Fitzgerald,et al.  Cystoid macular edema following aphakic keratoplasty. , 1973, American journal of ophthalmology.

[26]  D. M. Taylor,et al.  Pseudophakic bullous keratopathy. , 1983, Ophthalmology.

[27]  D. Boyaner,et al.  Pseudophakic bullous keratopathy. A clinical-pathologic analysis. , 1979, Canadian journal of ophthalmology. Journal canadien d'ophtalmologie.

[28]  M. C. Leske,et al.  Trends in cataract surgery and intraocular lenses in the United States. , 1983, American journal of ophthalmology.

[29]  T. Liesegang,et al.  Short- and long-term endothelial cell loss associated with cataract extraction and intraocular lens implantation. , 1984, American journal of ophthalmology.

[30]  J. Sugar,et al.  Endothelial trauma and cell loss from intraocular lens insertion. , 1978, Archives of ophthalmology.

[31]  N. Jaffe,et al.  The iris-plane (Copeland) pseudophakos. , 1976, Archives of ophthalmology.