Cataract surgery with the AlphaCor artificial cornea.

作者信息

Eguchi Hiroshi, Hicks Celia R, Crawford Geoffrey J, Tan Donald T, Sutton Gerard R

机构信息

Lions Eye Institute and Centre for Ophthalmology and Visual Science, University of Western Australia, Nedlands 6009, WA, Australia.

出版信息

J Cataract Refract Surg. 2004 Jul;30(7):1486-91. doi: 10.1016/j.jcrs.2003.12.026.

DOI:10.1016/j.jcrs.2003.12.026

PMID:15210227

Abstract

PURPOSE

To review the outcomes of AlphaCor artificial cornea (Argus Biomedical Pty Ltd.) implantation concurrent with or subsequent to cataract surgery.

SETTING

Nonrandomized multicenter clinical trial.

METHODS

AlphaCor devices were implanted under an approved protocol. Extracapsular cataract extraction with intraocular lens implantation was concurrently performed in 5 cases; an additional case had a displaced cataractous lens removed after severe blunt trauma subsequent to AlphaCor implantation.

RESULTS

Cataract surgery was difficult because the view was restricted and residual soft lens matter was retained. There was an increased incidence of postoperative complications (eg, melt, glaucoma) in cataract cases compared with noncataract AlphaCor cases. The mean best corrected visual acuity was worse in cases with cataract than in cases without.

CONCLUSIONS

The technique for cataract surgery in AlphaCor cases needs to be refined. Imaging studies performed postoperatively may help ascertain whether soft lens matter remains so additional antiinflammatory medication can be considered. Melting appears to be preventable by topical medroxyprogesterone 1% therapy.

摘要