Outcomes of refractive implantable lens implantation after deep anterior lamellar keratoplasty
Purpose: To assess the refractive outcomes and effect on endothelial cell density of refractive implantable lens (RIL) implantation following deep anterior lamellar keratoplasty (DALK). Methods: A retrospective study was conducted on 10 eyes of 10 patients who had undergone DALK and subsequently und...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=3;spage=837;epage=840;aulast=Reddy |
| _version_ | 1797824220306079744 |
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| author | Jagadeesh Reddy Samruddhi Dani Vandhana Sundaram |
| author_facet | Jagadeesh Reddy Samruddhi Dani Vandhana Sundaram |
| author_sort | Jagadeesh Reddy |
| collection | DOAJ |
| description | Purpose: To assess the refractive outcomes and effect on endothelial cell density of refractive implantable lens (RIL) implantation following deep anterior lamellar keratoplasty (DALK). Methods: A retrospective study was conducted on 10 eyes of 10 patients who had undergone DALK and subsequently underwent toric RIL implantation. The patients were followed up over a period of 1 year. The parameters compared were uncorrected and best corrected visual acuity, spherical and cylindrical acceptance, mean refractive spherical equivalent, and endothelial cell counts. Results: There was a significant improvement (P < 0.05) from preoperatively to 1 month postoperatively in the mean log of minimum angle of resolution (logMAR) uncorrected distance visual acuity (UCVA; 1.1 ± 0.1 to 0.3 ± 0.1), spherical refraction (5.4 ± 3.8 to 0.3 ± 0.1 D), cylindrical refraction (5.4 ± 3.2 to 0.8 ± 0.7 D), and MRSE (7.4 ± 3.5 to 0.5 ± 0.4 D). Three patients achieved spectacle independence for distance vision with a residual MRSE less than 1 D in the other cases. A stable refraction was maintained up to 1 year follow-up in all cases. There was a 2.3% mean decline in endothelial cell counts at 1 year of follow-up. No intraoperative or postoperative complications were seen in any case up to 1 year of follow-up. Conclusion: RIL implantation is an effective and safe procedure for the correction of high ametropia post-DALK. |
| first_indexed | 2024-03-13T10:35:43Z |
| format | Article |
| id | doaj.art-1f915d5ee0b142f4ace06f2b5520a6e1 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-03-13T10:35:43Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-1f915d5ee0b142f4ace06f2b5520a6e12023-05-18T06:11:44ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-0171383784010.4103/IJO.IJO_2627_22Outcomes of refractive implantable lens implantation after deep anterior lamellar keratoplastyJagadeesh ReddySamruddhi DaniVandhana SundaramPurpose: To assess the refractive outcomes and effect on endothelial cell density of refractive implantable lens (RIL) implantation following deep anterior lamellar keratoplasty (DALK). Methods: A retrospective study was conducted on 10 eyes of 10 patients who had undergone DALK and subsequently underwent toric RIL implantation. The patients were followed up over a period of 1 year. The parameters compared were uncorrected and best corrected visual acuity, spherical and cylindrical acceptance, mean refractive spherical equivalent, and endothelial cell counts. Results: There was a significant improvement (P < 0.05) from preoperatively to 1 month postoperatively in the mean log of minimum angle of resolution (logMAR) uncorrected distance visual acuity (UCVA; 1.1 ± 0.1 to 0.3 ± 0.1), spherical refraction (5.4 ± 3.8 to 0.3 ± 0.1 D), cylindrical refraction (5.4 ± 3.2 to 0.8 ± 0.7 D), and MRSE (7.4 ± 3.5 to 0.5 ± 0.4 D). Three patients achieved spectacle independence for distance vision with a residual MRSE less than 1 D in the other cases. A stable refraction was maintained up to 1 year follow-up in all cases. There was a 2.3% mean decline in endothelial cell counts at 1 year of follow-up. No intraoperative or postoperative complications were seen in any case up to 1 year of follow-up. Conclusion: RIL implantation is an effective and safe procedure for the correction of high ametropia post-DALK.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=3;spage=837;epage=840;aulast=Reddydalkkeratoconusphakic iolril |
| spellingShingle | Jagadeesh Reddy Samruddhi Dani Vandhana Sundaram Outcomes of refractive implantable lens implantation after deep anterior lamellar keratoplasty Indian Journal of Ophthalmology dalk keratoconus phakic iol ril |
| title | Outcomes of refractive implantable lens implantation after deep anterior lamellar keratoplasty |
| title_full | Outcomes of refractive implantable lens implantation after deep anterior lamellar keratoplasty |
| title_fullStr | Outcomes of refractive implantable lens implantation after deep anterior lamellar keratoplasty |
| title_full_unstemmed | Outcomes of refractive implantable lens implantation after deep anterior lamellar keratoplasty |
| title_short | Outcomes of refractive implantable lens implantation after deep anterior lamellar keratoplasty |
| title_sort | outcomes of refractive implantable lens implantation after deep anterior lamellar keratoplasty |
| topic | dalk keratoconus phakic iol ril |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=3;spage=837;epage=840;aulast=Reddy |
| work_keys_str_mv | AT jagadeeshreddy outcomesofrefractiveimplantablelensimplantationafterdeepanteriorlamellarkeratoplasty AT samruddhidani outcomesofrefractiveimplantablelensimplantationafterdeepanteriorlamellarkeratoplasty AT vandhanasundaram outcomesofrefractiveimplantablelensimplantationafterdeepanteriorlamellarkeratoplasty |