Penetrating keratoplasty: Risk factors, indications and visual outcomes
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 8
Abstract
Introduction: Corneal transplantation is the most common form of transplantation with over 2500 grafts in the United Kingdom and 32 000 grafts undertaken in the United States annually. Aims and Objectives: To study Penetrating Keratoplasty with respect to Risk factors, Indications and Visual Outcomes. Maternal and Methods: A study of 50 cases who were admitted for keratoplasty in our hospital was carried out. A detailed history was elicited regarding the duration and the onset of corneal disease, whether following trauma on foreign body or corneal ulcer. Donor Material: the main source of donor material was voluntary eye donation. The preferred age group of the donor material was from 20-53 years. Results: The most of the cases were Males i.e. 70% and 30% were females. Total number of cases that were subjected for penetrating keratoplasty, 70% were males. Most of the cases were between 51- 60 years of age. Majority of the associated risk factors were Leucoma-50% followed by ; Corneal ulcer with abscess-12%,Corneal ulcer-10%; Staphyloma-8%; Perforated corneal ulcer-6%; Adherent leucoma-6%,Hypopyon ulcer-4%; Opaque corneal grafts-4% respectively. Most common indication was Optical 60% followed by Therapeutic 34% and Cosmetic indication was in 6%. The most common complications /Outcome observed were Vascularisation in 52 % followed by Keratitis in 50%; Peripheral anterior synechiae in 30%; Infection in 28%; Wound leak in 20%; Iridocyclitis in 20%; Glaucoma 20%; Shallow anterior chamber in 20%. Graft rejection in 16%. Conclusion: Penetrating Keratoplasty is overall an effective long-term treatment for improving visual function in selected patients but the complications some time limits its use so the effective and promt management of complications is mandatory.
Authors and Affiliations
Hemkala L Trivedi, Sujit M Murade, Pritam J Pardeshi, Darshana B Rathod
Keywords
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