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Evaluation of an interlaced triple procedure: penetrating keratoplasty, extracapsular cataract extraction, and nonopen-sky intraocular lens implantation.

Abstract To evaluate an interlaced triple procedure that involved penetrating keratoplasty (PKP), extracapsular cataract extraction (ECCE) using diathermy capsulotomy, and nonopen-sky intraocular lens (IOL) implantation.This retrospective study involved data from 34 patients who were diagnosed with severe corneal opacities and cataracts. These patients were divided into an interlaced procedure group (21 patients) and a traditional procedure group (13 patients). In the interlaced group, the method of continuous curvilinear capsulorhexis (CCC) was completed via diathermy capsulotomy. The donor corneal button was sutured at 8 positions (at equal intervals) using 10-0 nylon sutures, and the IOL was inserted into the capsular bag using a closed anterior chamber approach at the 10:30 to 12 o'clock positions between the sutures. In the traditional group, CCC was completed using side-port capsular forceps, and the IOL was implanted using an open anterior chamber approach.In the interlaced group, the CCC, open-sky, and total operation times were significantly shorter than in the traditional group (Pā€Š<ā€Š.05). Neither the best-corrected visual acuity (BCVA) nor corneal endothelial cell density was significantly different between the groups at 1 and 6 months after the operation.This interlaced triple procedure for the treatment of corneal diseases with cataracts appears to be feasible and practical.
PMID
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Authors

Mayor MeshTerms

Cataract Extraction

Keywords
Journal Title medicine
Publication Year Start




PMID- 28858085
OWN - NLM
STAT- MEDLINE
DA  - 20170831
DCOM- 20170911
LR  - 20170912
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 35
DP  - 2017 Sep
TI  - Evaluation of an interlaced triple procedure: penetrating keratoplasty,
      extracapsular cataract extraction, and nonopen-sky intraocular lens implantation.
PG  - e7656
LID - 10.1097/MD.0000000000007656 [doi]
AB  - To evaluate an interlaced triple procedure that involved penetrating keratoplasty
      (PKP), extracapsular cataract extraction (ECCE) using diathermy capsulotomy, and 
      nonopen-sky intraocular lens (IOL) implantation.This retrospective study involved
      data from 34 patients who were diagnosed with severe corneal opacities and
      cataracts. These patients were divided into an interlaced procedure group (21
      patients) and a traditional procedure group (13 patients). In the interlaced
      group, the method of continuous curvilinear capsulorhexis (CCC) was completed via
      diathermy capsulotomy. The donor corneal button was sutured at 8 positions (at
      equal intervals) using 10-0 nylon sutures, and the IOL was inserted into the
      capsular bag using a closed anterior chamber approach at the 10:30 to 12 o'clock 
      positions between the sutures. In the traditional group, CCC was completed using 
      side-port capsular forceps, and the IOL was implanted using an open anterior
      chamber approach.In the interlaced group, the CCC, open-sky, and total operation 
      times were significantly shorter than in the traditional group (P &lt; .05). Neither
      the best-corrected visual acuity (BCVA) nor corneal endothelial cell density was 
      significantly different between the groups at 1 and 6 months after the
      operation.This interlaced triple procedure for the treatment of corneal diseases 
      with cataracts appears to be feasible and practical.
FAU - Yang, Shuo
AU  - Yang S
AD  - aQingdao Eye Hospital, Shandong Eye Institute, Shandong Academy of Medical
      Sciences, Qingdao bDepartment of Ophthalmology, Tongji Hospital, Tongji Medical
      College, Huazhong, University of Science and Technology, Wuhan cDepartment of
      Ophthalmology, First Affiliated Hospital of Baotou Medical College, Baotou,
      China.
FAU - Wang, Bin
AU  - Wang B
FAU - Zhang, Yangyang
AU  - Zhang Y
FAU - Zhai, Hualei
AU  - Zhai H
FAU - Wang, Junyi
AU  - Wang J
FAU - Wang, Shuang
AU  - Wang S
FAU - Xie, Lixin
AU  - Xie L
LA  - eng
PT  - Evaluation Studies
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Cataract/*complications
MH  - *Cataract Extraction/methods
MH  - Corneal Diseases/complications/*surgery
MH  - Female
MH  - Humans
MH  - Intraoperative Complications
MH  - Keratoplasty, Penetrating/methods
MH  - Lens Implantation, Intraocular/methods
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Treatment Outcome
PMC - PMC5585479
EDAT- 2017/09/01 06:00
MHDA- 2017/09/12 06:00
CRDT- 2017/09/01 06:00
AID - 10.1097/MD.0000000000007656 [doi]
AID - 00005792-201709010-00009 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Sep;96(35):e7656. doi: 10.1097/MD.0000000000007656.