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مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Information Journal Paper

Title

RESULTS OF PENETRATING KERATOPLASTY IN MACULAR CORNEAL DYSTROPHY

Pages

  337-344

Keywords

PENETRATING KERATOPLASTY (PK)Q3
MACULAR CORNEAL DYSTROPHY (MCD)Q3

Abstract

 Purpose: To evaluate the outcomes of penetrating keratoplasty (PK) in macular corneal dystrophy (MCD) at Labbafinejad Medical Center, Tehran-Iran (1986-2002). Methods: In a descriptive study, records of patients with MCD who had undergone PK were reviewed. All cases were recalled for a complete ocular examination. Patients who participated in the recall examination with at least 6 months follow up were enrolled in the study. Results: Sixty-two eyes of 39 patients were included. The age of patients at first examination (before keratoplasty) was 30±12(12-58) and at the time of keratoplasty was 34±10.3 (13-58) years. Duration of follow up after PK was 52±47.3 (6-190) months. Best corrected vision before surgery in Log MAR notation was 1.4±0.4 (4/100). After PK, uncorrected visual acuity improved to 0.6±0.44 Log MAR (20/28) (P<0.0001)and best spectacle corrected visual acuity (BSCV A) at the end of follow up was 0.2±0.32LogMAR (20/32). Spherical equivalent refractive error after surgery was -2.28±3.24 diopters and refractive astigmatism was 3.32±2.05 diopters. Suturing technique had no effect on final astigmatism after PK (P=0.9). BSCVA in 36 eyes who were operated before 35 years of age was 0.16±0.37LogMAR and in 26 eyes operated at or after age 35 was 0.26±0.25 (P=0.005). Immunologic graft rejection occurred in 12 eyes (19.4%) during the follow up period. The first rejection occurred at 6.1±3.5 (2-14) months after PK. Graft opacification and failure occurred only in one eye following ocular trauma and wound dehiscence. The rest of the grafts (98.4%) were clear at the end of follow up.Conclusion: PK in patients with MCD improves vision significantly with excellent graft survival rates. In this study, patients who underwent PK before 35 years of age had better final visual  acuity.

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    APA: Copy

    KARIMIAN, F., SHARIFI, A., JAVADI, M.A., ZARE, M., EYN ELAHI, BAHRAM, JAFARINASAB, M.R., ANISIAN, A., & SAJADI, HAMID. (2004). RESULTS OF PENETRATING KERATOPLASTY IN MACULAR CORNEAL DYSTROPHY. BINA, 9(4 (36)), 337-344. SID. https://sid.ir/paper/362404/en

    Vancouver: Copy

    KARIMIAN F., SHARIFI A., JAVADI M.A., ZARE M., EYN ELAHI BAHRAM, JAFARINASAB M.R., ANISIAN A., SAJADI HAMID. RESULTS OF PENETRATING KERATOPLASTY IN MACULAR CORNEAL DYSTROPHY. BINA[Internet]. 2004;9(4 (36)):337-344. Available from: https://sid.ir/paper/362404/en

    IEEE: Copy

    F. KARIMIAN, A. SHARIFI, M.A. JAVADI, M. ZARE, BAHRAM EYN ELAHI, M.R. JAFARINASAB, A. ANISIAN, and HAMID SAJADI, “RESULTS OF PENETRATING KERATOPLASTY IN MACULAR CORNEAL DYSTROPHY,” BINA, vol. 9, no. 4 (36), pp. 337–344, 2004, [Online]. Available: https://sid.ir/paper/362404/en

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