Short-Term Outcome of Penetrating Keratoplasty at a Tertiary Care Hospital

Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 11

Abstract

Objective: To study the short-term outcome of Penetrating keratoplasty (PKP) in terms of best corrected visual acuity (BCVA), Graft survival and Post operative complications. Materials and Methods: 56-Consecutive cases undergoing PKP from January 2014 to September 2015 were included in the study. Out of which 28-cases had bullous keratopathy either pseudophakic or aphakic, 24 had corneal scar following trauma, acid injury or keratitis, 2-case had graft failure and 2 had anterior staphyloma. PKP was performed in 22-cases and 6-cases had triple procedure. Follow-up examinations were done at post-operative day-1, 1-week, 1-month, 3 months and at the completion of 6-months. BCVA, graft survival and complications were noted in every visit. Results: Mean age of study group was 49.04±10.2 year. Out of 56-cases underwent PKP 75% (42) were male and 25% (14) female. BCVA at final follow-up was: ≥6/60 in 53.57% (30) cases, 5/60-1/60 in 28.57% (16) cases and ≤1/60 in 17.85% (10) cases. At 3-months Grade-IV graft clarity was present in 7.1% (4), grade-III in 46.42% (26), grade-II 28.57% (16), grade-I 17.85% (10) cases. Overall Graft survival was 82.14%. Persistent epithelial defects in 25% (14), secondary glaucoma in 14.2 % (8), Graft rejection 7.1%(4) and Primary graft failure 3.57%(2) are the common complications. Discussion: PKP is an effective procedure for corneal disease with poor vision. In the present study visual outcome was good with most of the patients having BCVA ≥6/60 and having grade-lll graft clarity. The persistent epithelial defect was most common complication.

Authors and Affiliations

Dr Rishi Gupta

Keywords

Related Articles

Myasthenia Gravis – A Case Report

Myasthenia Gravis is an autoimmune disorder presenting with mostly ocular and respiratory symptoms. Here I am presenting a case of a 45-year-old middle aged woman who presented with partial ptosis and respiratory distres...

Management of open Fractures of both Bones of Leg Treated by Internal Fixation of Fibula and External Fixation of Tibia

A prospective study of open fractures of both bones of leg in 25 patients managed and stabilized with Internal Fixation of Fibula and External Fixation of Tibia was undertaken at the Department of Orthopaedics, Govt. Med...

Barriers in Achieving Oral Health Care among Children with Low Socioeconomic Status: A Cross-sectional Study

Introduction: Dental diseases poses a serious public health problem in children and thus children often remain deprived from oral health care due to various barriers like low socioeconomic status, parental ignorance, ill...

Domestic Violence, Cause and Consequences on Pregnancy

Domestic violence is a preventable global public health and human rights issue which affects millions of women regardless of age, economic status, race, religion, ethnicity, or educational background worldwide. Women who...

Anti-Thyroid Peroxidase and Anti-Thyroglobulin Antibodies in patients with Hypothyroidism

Background: Autoimmune hypothyroidism is common and well-known in developed countries, the aim of this article is to determine theantithyroid peroxidase and antithyroglobulin antibodies in patients with primary hypothyro...

Download PDF file
  • EP ID EP507311
  • DOI -
  • Views 61
  • Downloads 0

How To Cite

Dr Rishi Gupta (2018). Short-Term Outcome of Penetrating Keratoplasty at a Tertiary Care Hospital. Journal of Medical Science And clinical Research, 6(11), 442-446. https://europub.co.uk/articles/-A-507311