Sait EğritmezMelis PalamarSinan EmreAyşe Yağcı2019-10-262019-10-2620051300-0659https://app.trdizin.gov.tr/makale/TlRreE1qSXk=https://hdl.handle.net/11454/10098Purpose: To compare the refractive and visual outcome of triple procedure [simultaneous penetrating keratoplasty (PKP), cataract extraction and implantation of a posterior chamber intraocular lens (IOL)j with two-stage procedure (nonsimultaneous PKP and cataract extraction + posterior chamber TOL). Methods: Group 1 consisted of 9 patients who had triple procedures; group 2 consisted of 9 patients who had nonsimultaneous procedures (penetrating keratoplasty followed by cataract extraction with phacoemulsification and foldable posterior chamber intraocular lens implantation). Variables of the eye in the study were compared within the same group by Wilcoxon signed rank test and between the groups by Mann Whitney U test. Results: Mean follow-up after undergoing transplantation was 26.44 ± 8.09 months in group 1 and 30.07 ± 12.43 months in group 2. Clear grafts were obtained in all eyes (100%) in both groups. An average best-corrected visual acuity was 0.54 in group 1 and 0.77 in group 2 (p=0.03). Mean deviation from desired spherical equivalent of refraction were found 2.83 ± 2.57 D in group 1 and 0.74 ± 0.89 D in group 2 (p=.04). Conclusions: Performing planned small incision cataract extraction with phacoemulsification and implantation of foldable IOL at the end of the first year after PKP is a safe procedure for graft clarity and preferable procedure to obtain less post surgical refractive error.Purpose: To compare the refractive and visual outcome of triple procedure [simultaneous penetrating keratoplasty (PKP), cataract extraction and implantation of a posterior chamber intraocular lens (IOL)j with two-stage procedure (nonsimultaneous PKP and cataract extraction + posterior chamber TOL). Methods: Group 1 consisted of 9 patients who had triple procedures; group 2 consisted of 9 patients who had nonsimultaneous procedures (penetrating keratoplasty followed by cataract extraction with phacoemulsification and foldable posterior chamber intraocular lens implantation). Variables of the eye in the study were compared within the same group by Wilcoxon signed rank test and between the groups by Mann Whitney U test. Results: Mean follow-up after undergoing transplantation was 26.44 ± 8.09 months in group 1 and 30.07 ± 12.43 months in group 2. Clear grafts were obtained in all eyes (100%) in both groups. An average best-corrected visual acuity was 0.54 in group 1 and 0.77 in group 2 (p=0.03). Mean deviation from desired spherical equivalent of refraction were found 2.83 ± 2.57 D in group 1 and 0.74 ± 0.89 D in group 2 (p=.04). Conclusions: Performing planned small incision cataract extraction with phacoemulsification and implantation of foldable IOL at the end of the first year after PKP is a safe procedure for graft clarity and preferable procedure to obtain less post surgical refractive error.trinfo:eu-repo/semantics/openAccessGöz HastalıklarıArticle353212221