Surgical management of pseudophakic corneal edema: complications and visual results following penetrating keratoplasty.

Of 45 eyes with pseudophakic bullous keratopathy, 40 underwent a penetrating corneal transplant. Thirty-six were followed for over six-months post surgically. Preoperative increased intraocular pressure and endothelial dystrophy in the contralateral eye were common findings. The most important factors limiting visual acuity postoperatively were increased intraocular pressure and cystoid macular edema. Although most grafts remained clear, this does not correlate with the final visual outcome in these patients. Eyes in which the IOL was retained had statistically better visual results than eyes in which the IOL was removed because of associated complicating factors.