BACK TO FRONT AC IOL IMPLANTATION COMBINED WITH PENETRATING KERATOPLASTY

In this retrospective study a simple modification of implanting an int raocular lens into the anterior chamber during penetrating keratoplast y is presented. In 14 patients who underwent penetrating keratoplasty after cataract extraction, the intraocular lens was placed back to fro nt in the anterior chamber so that the haptic was angled anteriorly. P ostoperative follow-up was 18 months on the average. There was signifi cant improvement in vision. All 9 patients with painful bullous kerato pathy were relieved of their pain. One case of mild, transient uveitis and glaucoma and two dilated pupils were seen postoperatively. No maj or complications have been observed so far. This study suggests that t his simple method, in some cases, might be favourable when implanting an intraocular lens during penetrating keratoplasty, in the absence of capsular support.