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Clinical outcomes of simultaneous versus sequential deep anterior lamellar keratoplasty and cataract surgery

Poster Details

First Author: B.Torun Acar TURKEY

Co Author(s):    T. Bozkurt   S. Acar           

Abstract Details


To compare the visual outcomes and endothelial cell loss of simultaneous deep anterior lamellar keratoplasty (DALK) and cataract surgery with those of sequential surgery.


Haydarpasa Numune Education and Research Hospital, Ophthalmology Clinic, Istanbul, Turkey


Twelve eyes of 12 patients who underwent simultaneous DALK and phacoemulsification surgery and twenty eyes of 20 patients who underwent sequential DALK and secondary phacoemulsification surgery were reviewed retrospectively. Refractive and visual outcomes, and endothelial cell loss were analyzed 1, 3, 6, and 12 months after combined surgery in the simultaneous group or after subsequent phacoemulsification in the sequential group.


Mean refractive error was significantly higher in the simultaneous group than in the sequential surgery group at all time points. Refractive errors within 2 diopters of emmetropia at 12 months were found in 15 eyes (72 %) in sequential group, and in 5 eyes (42 %) in simultaneous group (p=0.03). Corneal astigmatism was not significantly different between the groups at 6 and more months after surgery. Also, there was no statistically significant difference in the percentage of endothelial cell loss between the groups.


Although refractive error was greater after simultaneous surgery than after sequential surgery, corneal astigmatism and endothelial cell loss were not different between the groups. FINANCIAL INTEREST: NONE

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