Abstract | PURPOSE: SETTING: Public university hospital, Auckland, New Zealand. DESIGN: Retrospective case series. METHODS: The study analyzed post- keratoplasty eyes after cataract surgery and toric IOL (Acrysof SN60AT or T-flex 623T/573T) implantation. RESULTS: Twenty-six eyes were included. The mean age at cataract surgery was 57.1 years ± 11.2 (SD). Previous keratoplasty was penetrating (84.6%) or deep anterior lamellar (15.4%). Keratoconus (73.1%) was the major indication for keratoplasty. The mean IOL cylinder power was 6.85 ± 3.02 diopters (D). No IOL required postoperative realignment. The mean follow-up was 14 ± 11 months. The mean refractive spherical equivalent decreased significantly, from -3.67 ± 5.76 D to -0.58 ± 1.71 D (P=.01). The mean refractive astigmatism also decreased significantly, from -5.49 ± 3.72 D to -2.61 ± 2.10 D (P<.01). There was a significant improvement in the mean uncorrected distance visual acuity (UDVA) (from 1.12 ± 0.67 logMAR to 0.45 ± 0.39 logMAR) and in the mean corrected distance visual acuity (CDVA) (from 0.70 ± 0.66 logMAR to 0.15 ± 0.16 logMAR) from preoperatively to the last follow-up (both P<.01). Postoperatively, the UDVA and CDVA were 20/40 or better in 61.5% of eyes and 92.3% of eyes, respectively. CONCLUSION:
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Authors | David Lockington, Ellen F Wang, Dipika V Patel, Sacha P Moore, Charles N J McGhee |
Journal | Journal of cataract and refractive surgery
(J Cataract Refract Surg)
Vol. 40
Issue 12
Pg. 2044-9
(Dec 2014)
ISSN: 1873-4502 [Electronic] United States |
PMID | 25283612
(Publication Type: Journal Article)
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Copyright | Copyright © 2014 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved. |
Topics |
- Adult
- Aged
- Astigmatism
(etiology, surgery)
- Female
- Humans
- Keratoconus
(surgery)
- Keratoplasty, Penetrating
(adverse effects)
- Lens Implantation, Intraocular
- Lenses, Intraocular
- Male
- Middle Aged
- Phacoemulsification
(methods)
- Postoperative Complications
- Pseudophakia
(physiopathology)
- Refraction, Ocular
(physiology)
- Retrospective Studies
- Treatment Outcome
- Visual Acuity
(physiology)
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