View abstract

Cet abstract a été assigné à sessions
Type de présentationE-poster
TitrePost-traumatic Anterior Segment Reconstruction: First Results of Combined Penetrating Keratoplasty (PKP) – Carlevale IOL – Artificial Iris (AI) Implantation.
ButTo present the functional and aesthetic outcomes of surgical reconstruction of the anterior segment in three patients.
MéthodesThree 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.
RésultatsSurgery 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.
ConclusionThis case series demonstrates excellent functional and aesthetic outcomes following surgical reconstruction of the anterior segment after combined PKP, Carlevale IOL and AI implantation.
Conflit d'intérêtNon
Auteurs 1
NomHOEBEKE
InitialesL
Institut1* Dept of Ophthalmology, Ghent University Hospital, Ghent, Belgium
VilleGhent
Auteurs 2
NomACCOU
InitialesG
Institut1*
VilleGhent
Auteurs 3
NomNERINCKX
InitialesF
Institut1*
VilleGhent
Auteurs 4
NomVAN HOORDE
InitialesT
Institut1*
VilleGhent
Auteurs 5
NomDERVEAUX
InitialesT
Institut1*
VilleGhent
Auteurs 6
NomROELS
InitialesD
Institut1*
VilleGhent
top ^