Ophthalmology & Visual Sciences

Kenneth Goins, MD

Portrait

Mailing Address

Office: 11290B PFP
Iowa City, IA 52242
Phone: +1 319 356 2861
Email: kenneth-goins@uiowa.edu

Education

BA, Organismal and Systems Biology, The Univeristy of Tennessee at Knoxville, 1982
MD, Medicine, The University of Kentucky in Lexington, 1986
Internship, Internal Medicine, The University of Kentucky at Lexington, 1987
Residency, Ophthalmology, The University of Kentucky at Lexington, 1990
Fellowship, Cornea and External Disease, Duke University Eye Center at Durham, North Carolina , 1991

Appointments

Primary: Ophthalmology & Visual Sciences

Research Interests

cornea, deep lamellar endothelial keratoplasty (DLEK), Descemet, AlphaCor artificial cornea, Morcher black iris diaphragm aniridia intraocular lens, dry eye, Sjogren's, autologous serum (ASED), epithelial defect

Research Summary

Four major Cornea projects identified as areas of focus and priority by Dr. Goins to further advance ocular health are: 1. Endothelial keratoplasty (EK) 2. AlphaCor artificial cornea 3. Morcher black iris diaphragm aniridia intraocular lens 4. Autologous serum for the management of persistent corneal epithelial defects In December 2003, Dr. Goins performed the first deep lamellar endothelial keratoplasty (DLEK) in Iowa. Since that time, our corneal service has performed approximately 100 DLEK procedures in an IRB approved study and we have collected a database of patient outcomes over a three-year period. This is the third largest DLEK data set to date and represents the largest collection of DLEK patients at an academic institution. We have improved our technique and now use Descemet's stripping endothelial keratoplasty (DSEK)1 and have performed over 100 of these procedures at University of Iowa Hospitals and Clinics (UIHC). In 2004, Dr. Goins implanted the first AlphaCor artificial cornea in Iowa to treat patients at high-risk for corneal transplant allograft rejection. Done in coordination with an IRB approved study, seven devices have been used in seven patients as of September 2006. Two of five patients who have completed stage II surgery, have obtained a vision of 20/40 or better with a piggyback contact lens system. To help those patients who are not good candidates for the AlphaCor device, Dr. Goins hopes to begin the use of the Dohlman-Doane keratoprosthesis in 2007. At the University of Chicago (2001), Dr. Goins was one of few investigators with IRB approval to use Morcher black iris diaphragm intraocular lenses for the management of congenital and traumatic aniridia and has continued this research at UIHC. Nine patients have been enrolled into an IRB approved study at UIHC and a formal Investigational Device Exemption (IDE) request has been submitted to the Food and Drug Administration (FDA) so as to continue this important research. With the assistance of Iowa Lions Eye Bank (ILEB) of which he is Medical Director, Dr. Goins was the first ophthalmologist at UIHC to formulate a system by which autologous serum eye drops (ASED) could be made to treat eye disease. Since April 2005, 38 patients with persistent epithelial defects of the cornea and severe dry eye from Sjogren's Syndrome, from all over the Midwest have benefited from ASED, which is only available in Iowa through UIHC.

Publications

  • Reply. Cornea 31(12) : 1508, 2012. [PubMed]
  • Impact of eye bank lamellar tissue cutting for endothelial keratoplasty on bacterial and fungal corneoscleral donor rim cultures after corneal transplantation. Cornea 31(4) : 376-9, 2012. [PubMed]
  • Comparison of outcomes of penetrating keratoplasty versus Descemet's stripping automated endothelial keratoplasty for penetrating keratoplasty graft failure due to corneal edema. Int Ophthalmol 32(1) : 15-23, 2012. [PubMed]
  • Glaucoma therapy escalation in eyes with pseudophakic corneal edema after penetrating keratoplasty and Descemet's stripping automated endothelial keratoplasty. Int Ophthalmol 32(1) : 9-14, 2012. [PubMed]
  • Ocular myeloid sarcoma in a 10-year-old child. J AAPOS 15(5) : 504-5, 2011. [PubMed]
  • Retrospective review of graft dislocation rate associated with descemet stripping automated endothelial keratoplasty after primary failed penetrating keratoplasty. Cornea 30(4) : 414-8, 2011. [PubMed]
  • Comparison of bifold forceps and cartridge injector suture pull-through insertion techniques for Descemet stripping automated endothelial keratoplasty. Cornea 30(3) : 273-6, 2011. [PubMed]
  • Initial resident refractive surgical experience: outcomes of PRK and LASIK for myopia. J Refract Surg 27(3) : 181-8, 2011. [PubMed]
  • Phakic descemet stripping automated endothelial keratoplasty: prevalence and prognostic impact of postoperative cataracts. Cornea 30(3) : 291-5, 2011. [PubMed]
  • Treatment of ocular surface squamous cell intraepithelial neoplasia with and without mitomycin C. Cornea 30(1) : 37-41, 2011. [PubMed]