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Related Experiment Videos

Epikeratophakia after ocular trauma.

I Avni1, D Moverman, M Cahane

  • 1Maurice and Gabriela Goldschleger Eye Institute, Sackler School of Medicine, Tel-Aviv University, Chaim-Sheba Medical Center, Tel-Hashomer, Israel.

American Journal of Ophthalmology
|March 15, 1989
PubMed
Summary
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Epikeratophakia successfully restored visual function in five patients with traumatic aphakia and contact lens intolerance. The procedure offered significant visual acuity improvement with minimal complications.

Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Vision Rehabilitation

Background:

  • Monocular traumatic aphakia presents challenges for visual rehabilitation.
  • Contact lens intolerance is common in patients with aphakia due to distorted anterior segment anatomy.
  • Epikeratophakia was explored as a surgical option for these complex cases.

Observation:

  • Five patients with long-standing monocular traumatic aphakia and contact lens intolerance were included.
  • All patients had pre-existing corneal scars and a history of intracapsular cataract extraction.
  • Preoperative best-corrected visual acuity was 20/50 or better in all cases.

Findings:

  • Epikeratophakia improved postoperative best-corrected visual acuity within two lines of preoperative levels.

Related Experiment Videos

  • The procedure demonstrated no intraoperative complications.
  • One case of late-onset interface scarring occurred but resolved spontaneously.

    • Implications:

    • Epikeratophakia is a viable surgical solution for visual rehabilitation in complex traumatic aphakia.
    • The procedure offers good visual outcomes despite pre-existing corneal irregularities.
    • Further research into managing late-onset scarring may enhance long-term outcomes.