Secondary surgical procedures after epikeratophakia

Five patients required secondary surgical procedures after receiving epikeratophakia grafts. A neonate underwent epikeratophakia in combination with extracapsular cataract extraction, followed one week later by peripheral iridectomy and nine months later by strabismus surgery. A 53-year-old male had surgery to correct retinal detachment 4- 1/2 months after epikeratophakia surgery for the correction of aphakia. A five-year-old male had epikeratophakia after removal of a traumatic cataract; five weeks later, retinal detachment necessitated vitrectomy, 360° buckle, and cyclocryotherapy. A4- 1/2 -year old female had epikeratophakia for aphakia, followed nine months interfaces strabismus surgery. A 38-year-old female with keratoconus received a plano epikeratophakia graft, in combination with an extracapsular cataract extraction and anterior vitrectomy, followed two weeks later by an Outcome vitrectomy. In all cases, the epikeratophakia grafts and intervaces remained clear, and in four of the five patients in whom the secondary procedures were successful, vision continued to improve with time.