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  • Title: Pseudophakic keratoplasty: posterior chamber lens implantation in the presence of ruptured capsule.
    Author: Smith RE, Beatty RF, Clifford WS.
    Journal: Ophthalmic Surg; 1987 May; 18(5):344-8. PubMed ID: 3299192.
    Abstract:
    A technique is described for implantation of a posterior chamber intraocular lens during keratoplasty for bullous keratopathy when a large capsulotomy and vitreous prolapse are present. Seven cases of pseudophakic or aphakic bullous keratopathy with anterior chamber, iris-fixated, or no intraocular lens in place are reported. A completely intact posterior capsule is not necessary to support safely a sulcus-fixated posterior chamber lens. Anterior segment reconstruction, careful removal of existing intraocular lenses (except a posterior chamber lens), vitrectomy through the ruptured posterior capsule, and assessment of the remaining posterior capsule rim are important surgical objectives.
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