Ziauddin Ahmed Shaikh, Khwaja Shariful Hasan.
Triple procedure of penetrating Keratoplasty, Extracapsular Cataract Extraction and Intraocular Lens Implantation.
Pak J Ophthalmol Jan ;13(3):64-71.

Two hundred and twenty-eight procedures of penetrating keratoplasty performed at the Department of Ophthalmology, Civil Hospital, Karachi, during the period between 1984 and 1992, were studied retrospectively. Among these, 39 patients presented with advanced or advancing cataract, in addition to the corneal opacification. Penetrating keratoplasty in these patients was, therefore, combined with extracapsular cataract extraction and intraocular lens implantation. Four of these 39 patients were excluded due to non-availability of their records. The remaining 35 patients are being analyzed separately here. The group comprised 24 males and 11 females. Their ages ranged between 15 and 80 years, with the majority being over 50 years. The commonest reason for keratoplasty was corneal opacity resulting from infective keratitis, both bacterial as well as that from Herpes simplex virus infection. Postoperative results are analyzed for the status of corneal graft visual outcome and postoperative complications. The reasons for graft opacification and those for failure to achieve good postoperative vision, despite a clear graft are noted. The patients were followed-up for a period ranging between 6 and 60 months (average 18 months). Seven patients did not complete the follow-up protocol. As far as we know, there have been no previous reports on this subject from Pakistan.

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