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Title

OUTCOMES OF PENETRATING AND LAMELLAR KEROTOPLASTY IN PATIENTS WITH MUSTARD GAS KERATITIS

Pages

  141-146

Abstract

 Purpose: To compare clinical outcomes of two methods of corneal transplantation, PENETRATING KERATOPLASTY (PK) versus LAMELLAR KERATOPLASTY (LK), in patients with delayed-onset MUSTARD GAS KERATITIS (MGK).Methods: In this retrospective, comparative, interventional case series, 78 eyes of 55 victims of chemical warfare with delayed-onset MUSTARD GAS keratopathy who underwent PK or LK were enrolled. Two groups were compared in terms of best spectacle-corrected visual acuity (BSCVA), refractive error, and keratometric readings. The cumulative incidences of PK versus LK rejection-free graft survival, as well as graft survival were used to evaluate and compare the results.Results: At the time of keratoplasty, mean age was 40.3±4.5 years in the PK group and 43.8±4.3 years in the LK group (P=0.08), the patients were followed for 53.2±27.5 and 40.4±29.6 months, respectively (P=0.09). At the last follow-up, both groups were comparable in terms of to BSCVA (P=0.87), refraction (P=0.08), and keratometric readings (P=0.27). The rejection-free graft survival rate was 33.6% in the PK group and 90% in the LK group at 33 months with a mean length of 34.5 and 84.8 months, respectively (P<0.001). At the same follow-up examination, the graft survival rate was 77.3% and 91.7% with a mean length of 67.5 and 75.1 months, respectively (P=0.03). Three eyes that had received LK required PK because of significant interface haze formation.Conclusion: LK is preferred to PK in the majority of MUSTARD GAS victims. However, PK may inevitably be performed in some conditions.

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    APA: Copy

    JAVADI, M.A., FEIZI, S., JAFARINASAB, M.R., KARIMIAN, F., & GHIASIAN, L.. (2013). OUTCOMES OF PENETRATING AND LAMELLAR KEROTOPLASTY IN PATIENTS WITH MUSTARD GAS KERATITIS. BINA, 18(2 (71)), 141-146. SID. https://sid.ir/paper/42962/en

    Vancouver: Copy

    JAVADI M.A., FEIZI S., JAFARINASAB M.R., KARIMIAN F., GHIASIAN L.. OUTCOMES OF PENETRATING AND LAMELLAR KEROTOPLASTY IN PATIENTS WITH MUSTARD GAS KERATITIS. BINA[Internet]. 2013;18(2 (71)):141-146. Available from: https://sid.ir/paper/42962/en

    IEEE: Copy

    M.A. JAVADI, S. FEIZI, M.R. JAFARINASAB, F. KARIMIAN, and L. GHIASIAN, “OUTCOMES OF PENETRATING AND LAMELLAR KEROTOPLASTY IN PATIENTS WITH MUSTARD GAS KERATITIS,” BINA, vol. 18, no. 2 (71), pp. 141–146, 2013, [Online]. Available: https://sid.ir/paper/42962/en

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