Descemet-stripping automated endothelial keratoplasty with intrascleral haptic-fixated intraocular lens in a sequential vs simultaneous approach.

摘要: PURPOSE To compare the outcomes of Descemet-stripping automated endothelial keratoplasty (DSAEK) with intrascleral haptic-fixated intraocular lens (IOL) in a sequential and simultaneous approach. SETTING Tertiary eyecare center. DESIGN Prospective randomized comparative study. METHODS Patients aphakic or complicated pseudophakic bullous keratopathy visiting tertiary center were included A total 40 patients into 2 groups 20 each. Group 1 had subjects who underwent scleral-fixated IOL (SF IOL) implantation by haptic fixation technique, followed DSAEK (sequential procedure) an interval at least 3 months. (simultaneous) SF as combined procedure. Graft survival, cell loss (ECL), corrected distance visual acuity (CDVA), need for any intervention such rebubbling evaluated both end 6 RESULTS At months, group significantly better CDVA 0.62 ± 0.17 logMAR compared 0.87 0.19 (P = .002). overall cumulative graft survival (100% vs 60%, P .002), lower ECL .006), lesser mean central corneal thickness .03), thinner donor lenticule .009). Rebubbling rate was higher .025). The hyperopic shift more .02). CONCLUSION procedure has when cases keratopathy.