Scleral fixation of intraocular lenses combined with penetrating keratoplasty
Received 23 May 2009; received in revised form 12 September 2009; accepted 28 September 2009.
I describe a technique for transscleral fixation of a posterior chamber intraocular lens (PC IOL) combined with penetrating keratoplasty. Partial-thickness trephination of the cornea is followed by full-thickness penetration of the anterior chamber at 12 o'clock and 6 o'clock through 5.5 and 2.0mm incisions, respectively. Scleral fixation of a PC IOL is performed through the incisions under a closed chamber followed by replacement of the diseased graft with a donor button. The results in 5 eyes of 5 patients with aphakic bullous keratopathy and lack of capsule support are reported.
Financial Disclosure
The author has no financial or proprietary interest in any material or method mentioned.
From the Department of Ophthalmology, Hamad Medical Corporation, Doha, Qatar
Corresponding author: Fahad A. Al-Qahtani, MD, Post Office Box 14422, Doha, Qatar.
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