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Type presentatieE-poster
TitelPost-traumatic Anterior Segment Reconstruction: First Results of Combined Penetrating Keratoplasty (PKP) – Carlevale IOL – Artificial Iris (AI) Implantation.
DoelTo present the functional and aesthetic outcomes of surgical reconstruction of the anterior segment in three patients.
MethodesThree male patients (aged 23, 52 and 71y) with a history of post-traumatic corneal scarring, partial or complete aniridia and aphakia underwent a combined PKP, scleral-fixated Carlevale IOL and artificial iris (AI) implantation. Preoperatively, all patients experienced poor aesthetics, limited visual acuity (BCVA ranging from hand movements to counting fingers) and photophobia. All patients underwent pars plana vitrectomy before combined PKP-Carlevale-AI surgery.
ResultatenSurgery was performed using a stepwise approach, including Flieringa ring fixation, creation of lamellar scleral pockets, suturing of the AI to the anterior surface of the Carlevale IOL and use of a “rescue suture” to prevent posterior tilting of the Carlevale-AI complex after docking of the first haptic (video). No complications were encountered during surgery. All patients had a favorable postoperative course with good aesthetic results and improved visual acuity (case 1: BCVA 0.15 at 4 months, case 2: 0.1 at 9 months and case 3: 0.9 at 22 months postoperatively). There was no evidence of rejection or persistent inflammation during follow-up. However, one patient (case 3) developed persistently elevated intraocular pressure requiring a Paul Glaucoma Implant.
ConclusieThis case series demonstrates excellent functional and aesthetic outcomes following surgical reconstruction of the anterior segment after combined PKP, Carlevale IOL and AI implantation.
BelangenverstrengelingNee
Auteurs 1
NaamHOEBEKE
InitialenL
Instituut1* Dept of Ophthalmology, Ghent University Hospital, Ghent, Belgium
StadGhent
Auteurs 2
NaamACCOU
InitialenG
Instituut1*
StadGhent
Auteurs 3
NaamNERINCKX
InitialenF
Instituut1*
StadGhent
Auteurs 4
NaamVAN HOORDE
InitialenT
Instituut1*
StadGhent
Auteurs 5
NaamDERVEAUX
InitialenT
Instituut1*
StadGhent
Auteurs 6
NaamROELS
InitialenD
Instituut1*
StadGhent
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