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Keratoplasty and cataract extraction.

A Panda1, T S Kumar

  • 1Cornea Service, Dr. R.P. Centre for Ophthalmic Sciences, A.I.I.M.S., New Delhi.

Indian Journal of Ophthalmology
|July 1, 1991
PubMed
Summary
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This study compared two lens extraction methods during penetrating keratoplasty and cataract surgery. The intercapsular extracapsular lens extraction method showed fewer complications and better visual outcomes than intracapsular lens extraction.

Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Corneal Transplantation

Background:

  • Penetrating keratoplasty and cataract extraction are common procedures for corneal and lenticular pathologies.
  • Choosing the appropriate lens extraction method is crucial for surgical success.

Purpose of the Study:

  • To compare the outcomes of intracapsular lens extraction versus intercapsular extracapsular lens extraction in combined keratoplasty and cataract surgery.
  • To determine the preferred method for eyes with both corneal and lenticular issues.

Main Methods:

  • Fifty eyes underwent combined penetrating keratoplasty and cataract extraction.
  • Eyes were divided into two groups: 25 with intracapsular lens extraction (Group I) and 25 with intercapsular extracapsular lens extraction (Group II).

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  • Complications, visual outcomes, and graft clarity were evaluated postoperatively.

    • Main Results:

    • Group I experienced higher rates of operative and postoperative complications compared to Group II.
    • Eyes in Group II demonstrated superior visual outcomes and graft clarity.
    • The intercapsular method of extracapsular lens extraction proved more advantageous.

    Conclusions:

    • The intercapsular method of extracapsular lens extraction is recommended for combined corneal and cataract surgery.
    • This technique offers better results in eyes with coexisting corneal and lenticular pathologies.