PENETRATING KERATOPLASTY RESULTS OF A-TWO-YEAR STUDY

Year 2003, Volume: 16 Issue: 4, 270 - 274, 03.12.2016

Susanne Öner Ahmet Nohutçu

Abstract

Objective: The aim of this study was to analyse the conditions of the penetrating keratoplasties (PK) performed at Haydarpaşa Numune Hospital over 2 years time, and to compare the outcome with previous studies.
Method: Forty-five eyes of 40 patients were investigated retrospectively. Donor corneas were trephined to 7.00-7.50 mm sized buttons. In 30 eyes continuous, and in 15 eyes interrupted sutures were used. Eight procedures were combined with extracapsular cataract extraction. Postoperative treatment consisted of topical antibiotic, corticosteroid, mydriatic, and artificial tear drops. If required, additional treatment was initiated.
Results: Thirty-nine procedures were primary PK, 6 were rekeratoplasties. The most frequent indication for PK was corneal leucoma. No serious intraoperative complication was observed. A clear corneal graft was obtained in 77.8% after a follow-up of 4-31 months. Visual acuity increased in 35 eyes. The most frequent postoperative complication was glaucoma. Primary graft failure was observed in 2, and immunologic graft failure in 5 eyes. Rekeratoplasty was performed in 3 eyes.
Conclusion: The results of our study are comparable to previous studies. Even with the inclusion of high-risk PK, the frequency of
obtaining a clear corneal graft is high, and is likely to increase further with rigid eyebanking procedures and ABO blood group-matching.
Key Words: Penetrating keratoplasty, Graft rejection, Eyebanking.

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