Outcomes of refractive implantable lens implantation after deep anterior lamellar keratoplasty
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Date
2023-03
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
Purpose: To assess the refractive outcomes and effect on endothelial cell density of refractive implantable lens (RIL) implantation following deep anterior lamellar keratoplasty (DALK). Methods: A retrospective study was conducted on 10 eyes of 10 patients who had undergone DALK and subsequently underwent toric RIL implantation. The patients were followed up over a period of 1 year. The parameters compared were uncorrected and best corrected visual acuity, spherical and cylindrical acceptance, mean refractive spherical equivalent, and endothelial cell counts. Results: There was a significant improvement (P < 0.05) from preoperatively to 1 month postoperatively in the mean log of minimum angle of resolution (logMAR) uncorrected distance visual acuity (UCVA; 1.1 ± 0.1 to 0.3 ± 0.1), spherical refraction (5.4 ± 3.8 to 0.3 ± 0.1 D), cylindrical refraction (5.4 ± 3.2 to 0.8 ± 0.7 D), and MRSE (7.4 ± 3.5 to 0.5 ± 0.4 D). Three patients achieved spectacle independence for distance vision with a residual MRSE less than 1 D in the other cases. A stable refraction was maintained up to 1 year follow?up in all cases. There was a 2.3% mean decline in endothelial cell counts at 1 year of follow?up. No intraoperative or postoperative complications were seen in any case up to 1 year of follow?up. Conclusion: RIL implantation is an effective and safe procedure for the correction of high ametropia post?DALK
Description
Keywords
DALK, keratoconus, phakic IOL, RIL
Citation
Reddy Jagadeesh, Dani Samruddhi, Sundaram Vandhana. Outcomes of refractive implantable lens implantation after deep anterior lamellar keratoplasty. Indian Journal of Ophthalmology. 2023 Mar; 71(3): 837-840