A study of graft survival and visual outcome after penetrating keratoplasty at a tertiary eye care institute
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 3
Abstract
Background: Blindness and visual impairment due to corneal diseases is a significant public health problem especially in the developing countries. Visual rehabilitation with penetrating keratoplasty (PK) remains the procedure of choice in these patients. Proper evaluation of donor cornea is critical to the success of corneal transplantation. The proposed study was done to find out visual outcome and graft survival after PK. Material and Methods: Patients who underwent penetrating keratoplasties over a period of 12 months were included. The recipient and donor characteristics were noted. The patients were examined at postoperative day 1, 1 month, 3 month and 6 month. Visual acuity, graft clarity and posterior segment were evaluated. Results: A total number of 50 eyes of 50 patients were included, out of which 34 patients were male and 16 were female. The mean age of the patients was 52.46 years. Of the 50 patients included 42 patients were of optical and 8 were of therapeutic penetrating keratoplasty. The most common indication for PK in our study was healed corneal opacity. There was marked improvement in the visual outcome in most of the patients during follow up visits. Most of the patients had graft clarity of grade IV which shows good graft survival. Conclusion: PK either therapeutic or optical succeeds to meet its purpose in improving the vision of the patient. More studies required with better follow up data and large sample size to analyse the outcomes in our setting.
Authors and Affiliations
Shipra Singla, Neeti Gupta, Harsh Bahadur
Keywords
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