RESULTS OF PEDIATRIC PENETRATING KERATOPLASTY IN LABAFINEJAD MEDICAL CENTER: 2001-2012

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SARI MOHAMMADLI M.; JAVADI M.A.; KARIMIAN F.; JAFARINASAB M.R.; FARAMARZI A.; EINOLLAHI B.; ZARE M.; BARADARAN RAFII A.R.; FEIZI S.

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Journal: BINA Year:2013 | Volume:19 | Issue:1 (74) Page(s): 19-25

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Title

RESULTS OF PEDIATRIC PENETRATING KERATOPLASTY IN LABAFINEJAD MEDICAL CENTER: 2001-2012

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Keywords

ASDQ3

PKPQ3

CHEDQ3

KCNQ3

KERATOPLASTYQ3

PEDIATRICQ3

Abstract

Purpose: To report the outcomes of PEDIATRIC penetrating KERATOPLASTY (PK) performed in Labafinejad medical center, a tertiary referral ophthalmology center, between 2001 and 2012.Methods: In this retrospective interventional case series, medical records of all PEDIATRIC patients (age12 years) who underwent primary PK were reviewed. Age at the time of surgery, indications for KERATOPLASTY, postoperative uncorrected visual acuity (UCVA) and best spectacle-corrected visual acuity (BSCVA), postoperative refractive error, graft rejection episodes, graft clarity at the final follow-up, cause of graft failure and secondary intervention were reported. Cumulative graft survival was calculated using Kaplan-Meier method.Results: The study was conducted on 54 eyes of 45 children (27 males) including unilateral PK in 36 cases and sequential bilateral PK in 9 patients. Surgical indications were congenital hereditary endothelial dystrophy (CHED, n=17, 31.5%), trauma (n=6, 11.1 %), keratoconus (n=9, 16.7%), anterior segment dysgenesis (n=8, 14.8%), corneal perforation (n=8, 14.8%), corneal scars (n=4, 7.4%) and aphakic bullous keratopathy (n=2, 3.7%). Cumulative graft survival for 6 months, 1, 2 and 3 years were 74%, 68%, 65% and 62%, respectively. This rate was 61% at mean follow-up of 59 months. The graft survival was highest in old corneal scar and keratoconus (100% clear at month 60) followed by CHED (82.3% at month 61). The worst outcome was observed in traumatic cases (16.6% at month 9) Conclusion: PEDIATRIC PK yielded the best results when the indications were keratoconus and old corneal scar followed by CHED. The worst prognosis was observed in eyes with a history of trauma having led to vitreoretinal surgery and anterior segment dysgenesis.

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APA: Copy

SARI MOHAMMADLI, M., JAVADI, M.A., KARIMIAN, F., JAFARINASAB, M.R., FARAMARZI, A., EINOLLAHI, B., ZARE, M., BARADARAN RAFII, A.R., & FEIZI, S.. (2013). RESULTS OF PEDIATRIC PENETRATING KERATOPLASTY IN LABAFINEJAD MEDICAL CENTER: 2001-2012. BINA, 19(1 (74)), 19-25. SID. https://sid.ir/paper/42343/en

Vancouver: Copy

SARI MOHAMMADLI M., JAVADI M.A., KARIMIAN F., JAFARINASAB M.R., FARAMARZI A., EINOLLAHI B., ZARE M., BARADARAN RAFII A.R., FEIZI S.. RESULTS OF PEDIATRIC PENETRATING KERATOPLASTY IN LABAFINEJAD MEDICAL CENTER: 2001-2012. BINA[Internet]. 2013;19(1 (74)):19-25. Available from: https://sid.ir/paper/42343/en

IEEE: Copy

M. SARI MOHAMMADLI, M.A. JAVADI, F. KARIMIAN, M.R. JAFARINASAB, A. FARAMARZI, B. EINOLLAHI, M. ZARE, A.R. BARADARAN RAFII, and S. FEIZI, “RESULTS OF PEDIATRIC PENETRATING KERATOPLASTY IN LABAFINEJAD MEDICAL CENTER: 2001-2012,” BINA, vol. 19, no. 1 (74), pp. 19–25, 2013, [Online]. Available: https://sid.ir/paper/42343/en

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