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Keratophakia. Clinical evaluation

D M Taylor, A L Stern, K G Romanchuk

    Ophthalmology
    |November 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Barraquer keratophakia surgery shows promise for aphakia correction in select patients. While complex, it offers visual rehabilitation for those unsuitable for other lens options.

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    Area of Science:

    • Ophthalmology
    • Corneal Surgery

    Background:

    • Barraquer keratophakia and keratomileusis are complex procedures for aphakia correction.
    • These techniques have seen limited adoption in the US due to their difficulty.

    Purpose of the Study:

    • To assess the practicality, feasibility, and visual rehabilitation potential of secondary keratophakia.
    • To evaluate outcomes in patients resistant to contact lenses or unsuitable for intraocular lenses.

    Main Methods:

    • Performed 13 secondary keratophakia operations between March 1980 and April 1981.
    • Reported on the first ten cases with 6- to 12-month follow-up.

    Main Results:

    • Excellent anatomical results were achieved.
    • Minimal complications, including surface drying in three patients.

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  • Seven patients attained 20/30 to 20/40 vision with minimal spectacle correction.

    • Conclusions:

    • Barraquer keratophakia demonstrates potential and can be replicated by experienced corneal surgeons.
    • It is not yet a primary alternative for general ophthalmologists compared to intraocular lenses or continuous wear lenses.