Penetrating keratoplasty and Artisan iris-fixated intraocular lens implantation in the management of aphakic bullous keratopathy.

OBJECTIVE

To evaluate the safety and efficacy of aphakic bullous keratopathy (ABK) management with combined PK, anterior vitrectomy, angle synechiolysis, and Artisan intraocular lens implantation.

METHODS

Fourteen eyes of 11 patients underwent the procedure. Mean follow-up was 12-36 months (mean 24) for visual acuity (Va), refractive error (RE), intraocular pressure (IOP), tonography, graft clarity, intraocular lens centration, and any complications.

RESULTS

The postoperative mean values were: Va improved from 20/400 to 20/50, spherical RE was -2.65 diopters, IOP was 17.5 mmHg, tonography improved by 55%, all grafts were clear; no IOL decentrations or serious complications were noted.

CONCLUSIONS

This iris-fixated intraocular lens appears to offer simplicity in implantation and may be combined with PK, anterior vitrectomy, and angle synechiolysis. It may be a safe and effective alternative with PK in the management of ABK.