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  • Title: The triple procedure. Penetrating keratoplasty, extracapsular cataract extraction and posterior chamber lens implantation. A clinical and specular microscopic study.
    Author: Ruusuvaara P, Setälä K.
    Journal: Acta Ophthalmol (Copenh); 1987 Aug; 65(4):433-43. PubMed ID: 3310509.
    Abstract:
    The combination of penetrating keratoplasty, cataract extraction and intraocular lens implantation, the triple procedure, is the surgical choice for the patients with corneal disease and cataract. The success of the corneal graft depends chiefly on the endothelium of the transplanted cornea. Preservation, donor age, cadaver time, histocompatibility and operation itself affect endothelial cells. We present clinical results including endothelial evaluation of 20 patients who have undergone the triple procedure during the years 1984-1986. Mean age was 73 years. The follow-up time varied from 1 to 30 months. The visual recovery was very good. Every patient had better visual acuity post-operatively than pre-operatively. We had no operative complications. Three patients had rejection episodes which all were cured with cortisone. No re-transplantations were needed. The mean endothelial cell density was 1723 cells/mm2. The possible factors affecting the outcome are discussed.
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