Abstract:
PURPOSE:The purpose is to assess the clinical and visual outcome after phototherapeutic keratectomy (PTK) procedure in eyes with prior penetrating keratoplasty (PKP) for granular corneal dystrophy (GCD) and the time of performance of repeat PTK for recurrence. METHODS:PTK was performed for visually significant recurrence: A reduction in best-corrected visual acuity (BCVA) by >2 lines over BCVA before recurrence was considered as visually significant recurrence. Three eyes had amniotic membrane patch performed with PTK. The main outcome measures were a recurrence of GCD, clinical course, and visual outcome. Intervals between repeat PTK procedures were noted. RESULTS:Six patients (n = 10 eyes; males: 4, mean age 39 ± 13.97 years) underwent PTK. The mean pachymetry before first PTK was 527.1 ± 34 microns. The mean duration between PKP and first PTK was 85.1 months (range: 37-108 months). Two and three PTK procedures were done for seven and five eyes, respectively. Mean duration between first and second and second and third PTK was 62.12 ± 34.41 and 42.8 ± 13.54 months respectively. The average cut depth was 43.66 ± 19.57, 75 ± 43.30 and 39 ± 19.79 microns after the first, second and third PTK procedures, respectively. All eyes had a corneal haze. Pre first PTK mean BCVA was 20/200 and improved significantly after the first two PTK procedures to 20/40 and after the third PTK procedure to 20/32 (P < 0.001). Five eyes had hyperopia. One acute graft rejection was managed successfully at 5 months with medical therapy. CONCLUSION:Multiple PTK procedures can be performed safely with improved visual acuity in grafts without compromising graft survival.
journal_name
Indian J Ophthalmoljournal_title
Indian journal of ophthalmologyauthors
Rathi VM,Taneja M,Murthy SI,Bagga B,Vaddavalli PK,Sangwan VSdoi
10.4103/0301-4738.179715subject
Has Abstractpub_date
2016-02-01 00:00:00pages
140-4issue
2eissn
0301-4738issn
1998-3689pii
IndianJOphthalmol_2016_64_2_140_179715journal_volume
64pub_type
杂志文章abstract:BACKGROUND:This study evaluated the visual function after implantation of a multifocal toric intraocular lenses (IOLs). MATERIALS AND METHODS:This study involved 10 eyes from eight cataract patients with corneal astigmatism of 1.0 diopter (D) or higher who had received phacoemulsification with implantation of an AcryS...
journal_title:Indian journal of ophthalmology
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journal_title:Indian journal of ophthalmology
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journal_title:Indian journal of ophthalmology
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doi:10.4103/0301-4738.42774
更新日期:2008-11-01 00:00:00
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更新日期:2003-12-01 00:00:00
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更新日期:2020-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2012-07-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2013-08-01 00:00:00
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更新日期:2016-08-01 00:00:00