Penetrating keratoplasty and Artisan iris-fixated intraocular lens implantation in the management of aphakic bullous keratopathy

OBJECTIVE: To evaluate the safety and efficacy of aphakic bullous keratopathy (ABK) management with combined PK, anterior vitrectomy, angle synechiolysis, and Artisan intraocular lens implantation. METHODS: Fourteen eyes of 11 patients underwent the procedure. Mean follow-up was 12-36 months (mean 24) for visual acuity (Va), refractive error (RE), intraocular pressure (IOP), tonography, graft clarity, intraocular lens centration, and any complications. RESULTS: The postoperative mean values were: Va improved from 20/400 to 20/50, spherical RE was -2.65 diopters, IOP was 17.5 mmHg, tonography improved by 55%, all grafts were clear; no IOL decentrations or serious complications were noted. CONCLUSIONS: This iris-fixated intraocular lens appears to offer simplicity in implantation and may be combined with PK, anterior vitrectomy, and angle synechiolysis. It may be a safe and effective alternative with PK in the management of ABK.