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Cornea. 2010 Feb;29(2):162-6. doi: 10.1097/ICO.0b013e3181acf802.

Endothelial keratoplasty: endothelial cell loss after deep lamellar endothelial keratoplasty with retention of an open-loop anterior chamber intraocular lens.

Author information

1
Department of Ophthalmology, Legacy Health Systems, Devers Eye Institute, Portland, OR 97210, USA.

Abstract

PURPOSE:

To prospectively assess the impact of a retained open-loop anterior chamber intraocular lens (ACIOLs) on endothelial cell loss after deep lamellar endothelial keratoplasty (DLEK).

METHODS:

Prospectively gathered central endothelial cell densities of eyes with open-loop ACIOLs after DLEK were examined at 6 months, 1 year, and 2 years.

RESULTS:

Nine eyes with an open-loop ACIOL were examined. Mean endothelial cell loss was 37% at 6 months (n = 9, P = 0.001), 36% at 1 year (n = 6, P = 0.001), and 41%, at 2 years (n = 5, P = 0.002) after surgery.

CONCLUSION:

Postoperative endothelial cell loss over the first 2 years in this small series of patients undergoing DLEK with retention of an open-loop ACIOL may be greater in the first 6-12 months but similar at 2 years when compared with that found in the literature for the DLEK procedure.

PMID:
20023589
DOI:
10.1097/ICO.0b013e3181acf802
[Indexed for MEDLINE]

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