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Outcomes of combined penetrating keratoplasty with scleral tunnel scleral sutured intraocular lens implantation

Poster Details

First Author: A.Kockar TURKEY

Co Author(s): E. Turan Viral   N. Tukenmez Dikmen   N. Kockar              

Abstract Details


To evaluate the outcomes of combined penetrating keratoplasty (PKP) with scleral tunnel scleral-sutured posterior chamber intraocular lens implantation


Department of Ophthalmology, Haydarpasa Traınıng and Research Hospital, Turkey


Medical records from patients with aphakic bullous keratopathy who underwent combined PKP and scleral tunnel scleral-sutured PC-IOL implantation were retrospectively reviewed for preoperative indications and postoperative results of 27 consecutive patients (27 eyes) a 3 year peryod. Main outcomes measures were graft survival rate, visual acuity, and intraoperative and postoperative complications.


The principal indication for PKP was aphakic corneal edema. Mean postoperative follow-up was 23.9 ± 0.9 months (range 6-38 months). The best-corrected visual acuity improved at least 1 line on the Snellen chart in 25 eyes (92.5%) of the patients, with 44.1% of the eyes achieving acuities of 20/100 or better. Intraoperative complications included hyfema 2 eyes , vitreus hemorrhage 1 eye, suprachoridal hemorrhage 1 eye. Postoperative complications included new glaucoma in 5 eyes (18.5%), sutur exposure in 3 eyes (11.1%), graft failure in 3 eyes (11.1%) .


PKP combined with scelral tunnel scleral-sutured IOL implantation can achieve acceptable outcomes with a low rate of intraocular lens dislocation. We reported the results using a scleral tunnel technique that allows scleral fixation of IOL in surgery prosedure closed systems with keratoplasty.

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