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. 2010 Mar;36(3):373-6.
doi: 10.1016/j.jcrs.2009.09.041.

Scleral fixation of intraocular lenses combined with penetrating keratoplasty

Fahad A Al-Qahtani  1
Affiliations

Scleral fixation of intraocular lenses combined with penetrating keratoplasty

Fahad A Al-Qahtani. J Cataract Refract Surg. 2010 Mar.

Abstract

I describe a technique for transscleral fixation of a posterior chamber intraocular lens (PC IOL) combined with penetrating keratoplasty. Partial-thickness trephination of the cornea is followed by full-thickness penetration of the anterior chamber at 12 o'clock and 6 o'clock through 5.5 and 2.0mm incisions, respectively. Scleral fixation of a PC IOL is performed through the incisions under a closed chamber followed by replacement of the diseased graft with a donor button. The results in 5 eyes of 5 patients with aphakic bullous keratopathy and lack of capsule support are reported.

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