Corneal opacity and cataract: Triple procedure versus secondary approach

Shigeto Shimmura; Yoshie Ohashi; Hiroki Shiroma; Jun Shimazaki; Kazuo Tsubota

doi:10.1097/00003226-200304000-00010

Corneal opacity and cataract: Triple procedure versus secondary approach

Shigeto Shimmura, Yoshie Ohashi, Hiroki Shiroma, Jun Shimazaki, Kazuo Tsubota

Research output: Contribution to journal › Article › peer-review

39 Citations (Scopus)

Abstract

Purpose. To determine the efficacy of planned secondary cataract surgery after keratoplasty. Methods. Twenty patients (22 eyes) with simultaneous corneal pathology and cataract were enrolled in a prospective, interventional, case-matched, nonrandomized comparative trial. Penetrating keratoplasty (PKP) and extracapsular cataract extraction (ECCE) with IOL insertion (triple procedure) were performed in 11 eyes, and planned phacoemulsification (PEA) with IOL insertion after PKP was performed in 11 case-matched eyes. Results. There were 10 eyes (91%) within ± 2.0 D of expected values in the secondary PEA group versus 5 patients (45%) in the triple procedure group. No difference was observed in endothelial cell density after 1-year follow-up. Conclusions. Planning for secondary PEA in PKP patients with cataracts is a safe and reliable procedure to obtain less post surgical refractive error. Performing a two-stage intervention has no effect on corneal endothelial viability after 1 year.

Original language	English
Pages (from-to)	234-238
Number of pages	5
Journal	Cornea
Volume	22
Issue number	3
DOIs	https://doi.org/10.1097/00003226-200304000-00010
Publication status	Published - 04-2003
Externally published	Yes

All Science Journal Classification (ASJC) codes

Ophthalmology

Access to Document

10.1097/00003226-200304000-00010

Cite this

@article{ed23abaee0b043cebbb89672feb374e0,

title = "Corneal opacity and cataract: Triple procedure versus secondary approach",

abstract = "Purpose. To determine the efficacy of planned secondary cataract surgery after keratoplasty. Methods. Twenty patients (22 eyes) with simultaneous corneal pathology and cataract were enrolled in a prospective, interventional, case-matched, nonrandomized comparative trial. Penetrating keratoplasty (PKP) and extracapsular cataract extraction (ECCE) with IOL insertion (triple procedure) were performed in 11 eyes, and planned phacoemulsification (PEA) with IOL insertion after PKP was performed in 11 case-matched eyes. Results. There were 10 eyes (91%) within ± 2.0 D of expected values in the secondary PEA group versus 5 patients (45%) in the triple procedure group. No difference was observed in endothelial cell density after 1-year follow-up. Conclusions. Planning for secondary PEA in PKP patients with cataracts is a safe and reliable procedure to obtain less post surgical refractive error. Performing a two-stage intervention has no effect on corneal endothelial viability after 1 year.",

author = "Shigeto Shimmura and Yoshie Ohashi and Hiroki Shiroma and Jun Shimazaki and Kazuo Tsubota",

year = "2003",

month = apr,

doi = "10.1097/00003226-200304000-00010",

language = "English",

volume = "22",

pages = "234--238",

journal = "Cornea",

issn = "0277-3740",

publisher = "Lippincott Williams and Wilkins",

number = "3",

}

TY - JOUR

T1 - Corneal opacity and cataract

T2 - Triple procedure versus secondary approach

AU - Shimmura, Shigeto

AU - Ohashi, Yoshie

AU - Shiroma, Hiroki

AU - Shimazaki, Jun

AU - Tsubota, Kazuo

PY - 2003/4

Y1 - 2003/4

N2 - Purpose. To determine the efficacy of planned secondary cataract surgery after keratoplasty. Methods. Twenty patients (22 eyes) with simultaneous corneal pathology and cataract were enrolled in a prospective, interventional, case-matched, nonrandomized comparative trial. Penetrating keratoplasty (PKP) and extracapsular cataract extraction (ECCE) with IOL insertion (triple procedure) were performed in 11 eyes, and planned phacoemulsification (PEA) with IOL insertion after PKP was performed in 11 case-matched eyes. Results. There were 10 eyes (91%) within ± 2.0 D of expected values in the secondary PEA group versus 5 patients (45%) in the triple procedure group. No difference was observed in endothelial cell density after 1-year follow-up. Conclusions. Planning for secondary PEA in PKP patients with cataracts is a safe and reliable procedure to obtain less post surgical refractive error. Performing a two-stage intervention has no effect on corneal endothelial viability after 1 year.

AB - Purpose. To determine the efficacy of planned secondary cataract surgery after keratoplasty. Methods. Twenty patients (22 eyes) with simultaneous corneal pathology and cataract were enrolled in a prospective, interventional, case-matched, nonrandomized comparative trial. Penetrating keratoplasty (PKP) and extracapsular cataract extraction (ECCE) with IOL insertion (triple procedure) were performed in 11 eyes, and planned phacoemulsification (PEA) with IOL insertion after PKP was performed in 11 case-matched eyes. Results. There were 10 eyes (91%) within ± 2.0 D of expected values in the secondary PEA group versus 5 patients (45%) in the triple procedure group. No difference was observed in endothelial cell density after 1-year follow-up. Conclusions. Planning for secondary PEA in PKP patients with cataracts is a safe and reliable procedure to obtain less post surgical refractive error. Performing a two-stage intervention has no effect on corneal endothelial viability after 1 year.

UR - http://www.scopus.com/inward/record.url?scp=0037377956&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037377956&partnerID=8YFLogxK

U2 - 10.1097/00003226-200304000-00010

DO - 10.1097/00003226-200304000-00010

M3 - Article

C2 - 12658089

AN - SCOPUS:0037377956

SN - 0277-3740

VL - 22

SP - 234

EP - 238

JO - Cornea

JF - Cornea

IS - 3

ER -

Corneal opacity and cataract: Triple procedure versus secondary approach

Abstract

All Science Journal Classification (ASJC) codes

Access to Document

Other files and links

Fingerprint

Cite this