Article: ABSTRACT OnlyLong-Term Results of Transsclerally Sutured Posterior Chamber Lenses in Penetrating KeratoplastyDjalilian, Ali R. M.D.; Anderson, Steven O. M.D.; Fang-Yen, Michael M.D.; Lane, Stephen S. M.D.; Holland, Edward J. M.D. Author Information From the Cornea and External Disease Service, Department of Ophthalmology, University of Minnesota, Minneapolis, Minnesota, U.S.A. Address correspondence and reprint request to Dr. E.J. Holland, Department of Ophthalmology, University of Minnesota, Box 493 UMHC, 516 Delaware St. S.E., Minneapolis, MN 55455-0501, U.S.A. Submitted February 23, 1998. Revision received April 28, 1998. Accepted April 30, 1998. Cornea: July 1998 - Volume 17 - Issue 4 - p 359 Buy Abstract Purpose To evaluate the long-term safety and efficacy of transsclerally sutured posterior chamber lenses in penetrating keratoplasty. Methods This was a retrospective review of 130 patients who underwent penetrating keratoplasty and placement of a transsclerally sutured posterior chamber lens with at least 1 year of follow-up. The mean follow-up period was 38.8 months. There were 61 patients who had been followed for at least 3 years (mean, 59 months). Results At follow-up the visual acuity was 20/40 or better in 40 patients (31%) and 20/50 to 20/200 in 48 patients (36%). The primary reasons for decreased visual acuity were age-related macular degeneration (18%) and graft failure (13%). New-onset glaucoma was found in 19 of 82 patients (23%). In the 48 patients who had elevated intraocular pressures preoperatively, the pressure improved in 13 patients (27%) and worsened in 12 patients (25%). Exposure of the haptic suture through the conjunctiva occurred in 14 patients (11%) at an average of 12 months after surgery. Of these, seven (19%) occurred in patients with conjunctival flaps, and seven (16%) in patients who had scleral flaps covering the haptic suture. No erosions occurred in the cases in which the suture was rotated inside the eye. Conclusion Improvements in the surgical technique have made transsclerally sutured posterior chamber lenses safer in patients with inadequate capsular support. The long-term visual results in penetrating keratoplasty are acceptable and comparable to those of other techniques. © Lippincott-Raven Publishers.