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Revista Cubana de Oftalmología

Print version ISSN 0864-2176On-line version ISSN 1561-3070

Abstract

KURI CIENFUEGOS, Emilio; MOKEY CASTELLANOS, Miguel O.  and  PEREZ SUAREZ, Raúl G.. Expectations of triple procedure versus double procedure surgery in corneal diseases. Rev Cubana Oftalmol [online]. 2007, vol.20, n.2. ISSN 0864-2176.

A retrospective descriptive study was conducted from July 2003 to December 2005 to evaluate the results of double procedure and triple procedure surgeries in patients operated on from corneal diseases at the Ophthalmologic Service Department of “Hermanos Ameijeiras” Clinical and Surgical Hospital located in the City of Havana.  The sample was made up of 45 eyes that had undergone corneal transplantation from January 1988 to June 2003 at the same hospital. The considered variables were age, sex, personal ocular antecedents, previous corneal disease, retransplantion, corneal graft viability, surgery complication during and after surgery, pre-surgical and post-surgical visual acuity, IOL estimation error and refractive error.  The results were the following> prevalence of males (51 %), average age of 60,27 years,  most frequent associated disease in double and triple procedure surgeries was glaucoma in 22,7 % and 26,1 % of cases respectively, the most common corneal problem was Fuchs´ epithelial-endothelial dystrophy in both procedures (72.7 % and 52.2 % respectively) No transurgical complications were found in 90,9 % of double procedure-operated cases  and 95,5 %  of triple procedure-operated cases. Postsurgical complications were 9.1% in double procedure and 26.1 % in the triple procedure. Postoperative corneal opacity was observed in 9.1 % of cases treated with the double procedure surgery and 17.4 % with triple procedure surgery.  There were more retransplanted patients in the triple procedure (17,4 %). Final refractive error had a higher number of emmetropes and lower number of hypermetropes than the triple procedure whereas in myopic patients, better visual acuity was found in the double procedure.  Intraocular lens estimation error was bigger in the triple procedure.

Keywords : Keratoplasty; intraocular lens; keratometry.

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