Cataract surgery combined with ocular surface reconstruction in patients with severe cicatricial keratoconjunctivitis.

Abstract

PURPOSE:

To present the technique and outcome of cataract surgery combined with ocular surface reconstruction in patients with severe cicatricial keratoconjunctivitis.

SETTING:

Department of Ophthalmology, Tokyo Dental College, Chiba, Japan.

METHODS:

Phacoemulsification with transplantation of a limbal allograft and an amniotic membrane was performed in 4 eyes of 3 patients with cataract and end-stage cicatricial keratoconjunctivitis. The surgical technique and the improvements in visual acuity were reviewed. The follow-up ranged from 13 to 27 months.

RESULTS:

Phacoemulsification and intraocular lens implantation were performed in all cases without intraoperative complications. In 3 of the 4 eyes, the best corrected visual acuity improved from hand motions to 20/100, hand motions to 20/30, and counting fingers to 20/50. The visual acuity recovered to 20/60 postoperatively in 1 eye in which the preoperative visual acuity was light perception; at 1 year, the visual acuity decreased to hand motions because of recurrent fibrous tissue over the cornea.

CONCLUSION:

Small-incision phacoemulsification was performed safely in combination with ocular surface reconstruction in patients with cataract and end-stage cicatricial keratoconjunctivitis.

• Authors: Hiroko Bissen-Miyajima, Yu Monden, Jun Shimazaki, Kazuo Tsubota
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 28 Issue 8 Pg. 1379-85 (Aug 2002) ISSN: 0886-3350 [Print] United States
• PMID: 12160807 (Publication Type: Journal Article)

Topics

• Cataract (complications)
• Cataract Extraction
• Cicatrix (complications, pathology, surgery)
• Humans
• Keratoconjunctivitis (complications, pathology, surgery)
• Lens Implantation, Intraocular
• Ophthalmologic Surgical Procedures
• Phacoemulsification
• Severity of Illness Index
• Treatment Outcome