ESCRS - PO250 - Simultaneous Keratoplasty Associated To Cataract Surgery Or Surgical Aphakia Correction

Simultaneous Keratoplasty Associated To Cataract Surgery Or Surgical Aphakia Correction

Published 2022 - 40th Congress of the ESCRS

Reference: PO250 | Type: ESCRS 2022 - Posters | DOI: 10.82333/gbvc-ht31

Authors: Saad Leboukhe* 1 , Mounir Relila 2 , Lazher degdeg 2 , Allaeddine salem attia 2

1Ophthalmology ,military university hospital ,Constantine ,Algeria, 2Ophthalmology,military university hospital,Constatine,Algeria

Purpose

The purpose of this study is to assess the refractive outcomes and complications related to simultaneous combined surgery: penetrating keratoplasty (PK) and Descemet’s stripping automated keratoplasty (DASEK) associated with cataract surgery or surgical aphakia correction.

Setting

Ophthalmology department, military university hospital of Constantine, Algeria.  

Methods

In this retrospective study including   22 eyes of 22 patients suffering from corneal diseases subject to keratoplasty associated with cataract or aphakia were enrolled between december 2016 and december 2019. A pre-and post-operative complete ophthalmologic examination was done. The data were collected on demographic characteristics, pathology, postoperative best corrected visual acuity (BSCVA), post-operative astigmatism and complications were recorded.

 

Results

Mean age was (66,09 ±12,86) years.  bullous keratopathy post phacoemulsification represents 36,20%, corneal scar (22,70%), stromal dystrophy (27,20%), primary endothelial dysfunction (13,60%).36,3% of patients were aphake.52,6% underwent PK combined with cataract surgery, 10,50% PK with retropupillary Artisan. DSAEK combined with phacoemulsification (10,5%) and IOL exchange with DSAEK with retropupillary Artisan (26,3%). At two years, astigmatism in PK group (4,88 ± 2,74) D vs (1,91±2,30) D in DSAEK group , the BCVA in log mar (0,40± 0,30) for the group PK vs (0,20±0,25) for the group DSAEK. One graft detachment occurred,02 grafts rejection noticed in the PK group.  

 

Conclusions

Corneal diseases subject to keratoplasty are usually associated with cataract or aphakia. Simultaneous Combined surgery including keratoplasty associated with cataract surgery and intraocular implantation or surgical aphakia correction with retropupillary artisan iris claw   offer quick visual rehabilitation with less complications.  These techniques can be the treatment of choice in such cases.