Corneal Pathology and Cataract: Combined Surgery or Sequential Surgery?

• DOI: 10.4274/tjo.galenos.2020.04382
• Publication Date: 2021-02-25T08:38:40Z
• Authors: Selma Özbek Uzman; Züleyha Yalnız Ak...; Emrah Düzova; Evin Şingar; Ayşe Burcu
• Keywords: Corneal dystrophy; Dystrophy

To compare our combined surgery (CS) and sequential (SS) results.The files of 44 patients who underwent CS (penetrating keratoplasty [PK], cataract extraction, intraocular lens [IOL] implantation) 126 SS (cataract extraction IOL implantation in a second session after PK) between January 2009 December 2018 were evaluated retrospectively. One eye the followed up for at least 1 year was included study. The two groups compared terms indications, corrected distance visual acuity (CDVA), refractive results, complications, graft survival.In groups, median age 63 (30-79) 43 (18-73) years (p<0.001) follow-up time 51 (13-152) 64.5 (13-154) months (p=0.011), respectively. most common PK indications traumatic corneal scar (20.5%) endothelial dystrophy (15.9%) group versus keratoconus (24.6%) stroma (17.5%) group. In 50% vs 69% had CDVA ≥0.4 (p=0.04); 45.5% 25.4% (0.1-0.3) 54.5% 73% spherical equivalent ≤±2.0 D (p=0.02). postoperative complications glaucoma (20.5% 15.9%, p=0.48) allograft reaction (9.1% 23%, p=0.04). Graft survival rates 95.2% 86.5% (p=0.10) 75.9% 68.9% (p=0.47) 5 years, respectively.Over long-term follow-up, similar survival. For this reason, each patient must be separately whether to perform or surgery. Given lower error higher expectation final acuity, can more advantageous especially young patients.