Ophthalmology And Visual Sciences

Kenneth M. Goins, MD

Portrait

Service Director, Refractive/Laser Surgery, Cornea and External Disease
Medical Director, Iowa Lions Eye Bank
Clinical Professor of Ophthalmology and Visual Sciences

Contact Information

Primary Office: 11290B  PFP
Iowa City, IA 52242
Primary Office Phone: 319-356-2861

Clinic:  Iowa River Landing
105 East 9th Street
Coralville, IA 52241

Email: kenneth-goins@uiowa.edu

Education

High School, Father Ryan High School in Nashville, Tennessee
BA, Organismal and Systems Biology, The Univeristy of Tennessee at Knoxville
MD, Medicine, The University of Kentucky in Lexington

Internship, Internal Medicine, The University of Kentucky at Lexington
Residency, Ophthalmology, The University of Kentucky at Lexington
Fellowship, Cornea and External Disease, Duke University Eye Center at Durham

Licensure and Certifications

State of Iowa Medical License Iowa Board of Medicine
Illinois Medical License Illinois Board of Medicine
Florida Medical License Florida Board of Medicine
North Carolina Medical License North Carolina Board of Medicine
Descemet membrane endothelial keratoplasty (DMEK)
Verisyse Phakic IOL
Visian ICL
IntraLase®-Enabled Keratoplaty (IEK)
Descemet’s Stripping Automated Endothelial Keratoplasty
Previze® ReStor AcrSof IOL
IntraLase® FS Laser Training Course, IntraLase®
VISX CustomVue Hyperopia
AlphaCor synthetic cornea
Deep lamellar endothelial keratoplasty
VISX CustomVue Wavefront System
Moria ALTK Microkeratome System
INTACS
LADAR Vision Excimer Laser System
Chiron LASIK System
VISX Excimer Laser System
Summit Excimer Laser System
Chiron ALK System
Advanced Radial Keratotomy
Bidirectional Radial Keratotomy
Centrifugal Radial Keratotomy
NBME Diplomate National Board of Medical Examiners

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. Procedure Certification: Centrifugal Radial Keratotomy - July 1992 Bidirectional Radial Keratotomy - March 1993 Advanced Radial Keratotomy - Sept 1994 Chiron ALK System - April 1995 Summit Excimer Laser System - Feb 1996 VISX Excimer Laser System - Sept 1996 Chiron LASIK System - Jan 1998 LADAR Vision Excimer Laser System - July 2000 INTACS - March 2002 Moria ALTK Microkeratome System – September 2002 VISX CustomVue Wavefront System – June 2003 Deep lamellar endothelial keratoplasty – September 2003 AlphaCor synthetic cornea – October 2003 VISX CustomVue Hyperopia – January 2005 IntraLase® FS Laser Training Course, IntraLase® - August 2005 Previze® ReStor AcrSof IOL – February 2006 Descemet’s Stripping Automated Endothelial Keratoplasty – March 2006 IntraLase®-Enabled Keratoplaty (IEK) – June 2007 Visian ICL – November 2007 Verisyse Phakic IOL – June 2008 Descemet membrane endothelial keratoplasty (DMEK) – April 2009

Selected Publications

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Stamler J, Roos B, Wagoner M, Goins K, Kitzmann A, Riley J, Stone E, Fingert J.  Confirmation of the association between the TCF4 risk allele and Fuchs endothelial corneal dystrophy in patients from the Midwestern United States.  Ophthalmic genetics.  2013. 34(1-2):32-4.
[Link]

Ward M, Wandling G, Goins K, Sutphin J, Kitzmann A, Wagoner M.  Photorefractive keratectomy modification of postkeratoplasty anisometropic refractive errors.  Cornea.  2013. 32(3):273-9.
[Link]

Kitzmann A, Wandling G, Sutphin J, Goins K, Wagoner M.  Comparison of outcomes of penetrating keratoplasty versus Descemet's stripping automated endothelial keratoplasty for penetrating keratoplasty graft failure due to corneal edema.  International Ophthalmology.  2012. 32(1):15-23.
[Link]

Baker M, Krakauer M, Gupta S, de la Cruz J, Cortina M, Kitzmann A, Goins K, Allen R, Setabutr P.  Eyelid procedures in patients who have undergone Boston keratoprosthesis surgery.  Ophthalmic plastic and reconstructive surgery.  2012. 28(4):286-8.
[Link]

Wandling G, Rauen M, Goins K, Kitzmann A, Sutphin J, Kwon Y, Alward W, Wagoner M.  Glaucoma therapy escalation in eyes with pseudophakic corneal edema after penetrating keratoplasty and Descemet's stripping automated endothelial keratoplasty.  International Ophthalmology.  2012. 32(1):9-14.
[Link]

Rauen M, Goins K, Sutphin J, Kitzmann A, Schmidt G, Wagoner M.  Impact of eye bank lamellar tissue cutting for endothelial keratoplasty on bacterial and fungal corneoscleral donor rim cultures after corneal transplantation.  Cornea.  2012. 31(4):376-9.
[Link]

Hong E, Longmuir S, Goins K.  Ocular Myeloid Sarcoma in a 10-Year Old Child.  J AAPOS.  2011 October. 15(5):504-5.
[PubMed]

Tsui J, Goins K, Sutphin J, Wagoner M.  Phakic Descemet Stripping Automated Endothelial Keratoplasty: Prevalence and Prognostic Impact of Postoperative Cataracts.  Cornea.  2011 March. 30(3):291-5.
[PubMed]

Wendel L, Goins K, Sutphin J, Wagoner M.  Comparison of bifold forceps and cartridge injector suture pull-through insertion techniques for Descemet stripping automated endothelial keratoplasty.  Cornea.  2011. 30(3):273-6.
[Link]

Goins K.  Donor Preparation in Endothelial Keratoplasty. (Chapter 134).  Mosby.  2011. 2:1535-41.

Date Last Modified: 06/07/2014 - 21:56:23