Abstract | BACKGROUND:
Iridocorneal endothelial syndrome is characterized by the proliferation and spreading of an abnormal corneal endothelial membrane across the iridocorneal angle and iris surface, resulting in iridocorneal adhesions, glaucoma, pupillary distortion, varying degrees of iris atrophy, and occasionally corneal decomposition with edema. These changes may possibly affect the long-term prognosis of penetrating keratoplasty in an adverse fashion. METHODS: RESULTS: The grafts remained clear in 10 patients (83%) and the visual acuity was 20/40 or better in nine patients (75%). The endothelial cell losses averaged 13% at 6 months and 17% at 1 year after surgery. Simultaneous extracapsular cataract extraction and posterior chamber lens implantation at the time of keratoplasty posed no measurable compromise to the overall postoperative prognosis. Causes of poor visual acuity after surgery included glaucoma and graft failure (immune and nonimmune). CONCLUSIONS:
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Authors | P C Chang, H K Soong, M F Couto, R F Meyer, A Sugar |
Journal | Refractive & corneal surgery
(Refract Corneal Surg)
1993 Mar-Apr
Vol. 9
Issue 2
Pg. 129-32
ISSN: 1042-962X [Print] United States |
PMID | 8494813
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Cataract Extraction
- Cell Count
- Corneal Diseases
(surgery)
- Corneal Edema
(surgery)
- Endothelium, Corneal
(surgery)
- Female
- Follow-Up Studies
- Humans
- Iris Diseases
(surgery)
- Keratoplasty, Penetrating
- Lenses, Intraocular
- Male
- Middle Aged
- Prognosis
- Syndrome
- Visual Acuity
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