Related Experiment Video
Updated: May 19, 2026
05:22
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
[Keratoplasty combined with cataract surgery]
M Muraine1, J Gueudry, A Retout
1Service d'Ophtalmologie, Hôpital Charles-Nicolle, CHU de Rouen, 1, rue de-Germont, 76031 Rouen cedex, France. marc.muraine@chu-rouen.fr
Journal Francais D'Ophtalmologie
|August 28, 2012
Summary
Combined cataract and corneal transplant surgery (triple procedure) offers rapid visual rehabilitation. Newer techniques like Descemet
Area of Science:
- Ophthalmology
- Corneal Surgery
- Cataract Surgery
Context:
- Corneal diseases often necessitate keratoplasty (corneal transplant) and are frequently comorbid with cataracts, requiring combined surgical approaches.
- Historically, simultaneous triple procedures (penetrating keratoplasty with cataract extraction and intraocular lens implantation) were preferred for faster visual recovery.
- Modern surgical trends include non-simultaneous procedures and newer triple techniques, balancing refractive outcomes with visual rehabilitation.
Purpose:
- To review the evolution and current practices of triple procedures in managing combined corneal pathologies and cataracts.
- To compare the advantages and disadvantages of traditional versus newer triple surgical techniques, including Descemet's stripping automated keratoplasty combined with cataract surgery.
- To highlight surgical considerations and potential refractive outcomes associated with these combined procedures.
Summary:
- Traditional triple procedures involve penetrating keratoplasty and concurrent cataract extraction, aiming for rapid visual rehabilitation but posing surgical challenges due to anterior chamber pressure dynamics.
- Non-simultaneous procedures, performing cataract surgery after corneal grafting, are favored by some for improved refractive error management.
- Descemet's stripping automated keratoplasty combined with cataract surgery offers benefits such as quick visual recovery, reduced refractive errors, and preserved corneal integrity, particularly for Fuchs dystrophy.
Impact:
- Newer triple procedures, especially Descemet's stripping automated keratoplasty with cataract surgery, provide enhanced visual rehabilitation and minimize refractive complications.
- Surgeons must carefully consider potential postoperative hyperopic shifts when selecting intraocular lenses after these procedures.
- These advancements improve patient outcomes and satisfaction in managing complex ophthalmic conditions.
Related Concept Videos
01:28Angle Closure Glaucoma: Treatment
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
01:27Open Angle Glaucoma: Treatment
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...