Deep anterior lamellar keratoplasty with phacoemulsification

J Cataract Refract Surg. 2011 Jan;37(1):122-6. doi: 10.1016/j.jcrs.2010.07.031.

Abstract

Purpose: To evaluate the technique and outcomes of deep anterior lamellar keratoplasty (DALK) combined with phacoemulsification for corneal opacity with coexisting cataract.

Setting: Cornea Service, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Design: Cohort study.

Methods: Eyes with cataract of varied nucleus grade and with different corneal pathologies were selected. Modified triple procedures were performed in all eyes.

Results: Twenty eyes were evaluated. The corrected distance visual acuity (CDVA) after 3 months was 20/60 or better in 18 eyes. One eye had 20/80 CDVA as a result of perioperative and postoperative complications. One graft became opaque after postoperative infection.

Conclusion: Simultaneous DALK with phacoemulsification was feasible in eyes with coexisting corneal and lenticular pathology, and the outcomes were encouraging.

Financial disclosure: No author has a financial or proprietary interest in any material or method mentioned.

MeSH terms

  • Adult
  • Cataract / complications*
  • Corneal Opacity / complications*
  • Corneal Opacity / surgery
  • Corneal Transplantation*
  • Female
  • Humans
  • Lens Implantation, Intraocular*
  • Male
  • Middle Aged
  • Phacoemulsification*
  • Pseudophakia / physiopathology
  • Visual Acuity / physiology