OUTCOMES OF PENETRATING KERATOPLASTY FOR KERATOCONUS

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FALAHI MOTLAGH B.; JAVADI M.A.; JAFARINASAB M.R.; RABANIKHAH Z.; ANISIAN A.; SOURI H.

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Journal: JOURNAL OF CURRENT OPHTHALMOLOGY Year:2004 | Volume:16 | Issue:4 Page(s): 9-19

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Title

OUTCOMES OF PENETRATING KERATOPLASTY FOR KERATOCONUS

Author(s)

Keywords

KERATOCONUSQ3

DISPARITYQ4

PENETRATING KERATOPLASTYQ3

REJECTIONQ4

CORNEAQ4

Abstract

Background and Purpose: KERATOCONUS (KCN) is the most common cause of CORNEAl transplantation in Iran. This study was undertaken to determine the outcomes of PENETRATING KERATOPLASTY (PK) for KCN in patients who were operated in a private practice setting from 1994 to 2001.Patients and Methods: This longitudinal retrospective study included 181 patients who underwent PK for KCN. Medical records were reviewed and all patients were .recalled for a final examination. Variables including trephine type, preoperative keratometry and CORNEAl condition, suturing techniques and donor-recipient DISPARITY were evaluated and comparison were made among difference subgroups using the T-Student, ANOVA, Kruscall-Wallis and Mann-Whitney tests.Results: At the last follow up spherical equivalent was -2.3±2.7 diopters (D), CORNEAl astigmatism was 3.4±1.80 and best spectacle corrected visual acuity (BSCVA) was 0.14±0.15 LogMAR. Trephine type, suturing techniques and severity of the disorder had no effect on final outcomes. Donor-recipient DISPARITY had no effect on final astigmatism; however greater DISPARITY was associated with a greater myopic shift. Overall 27.1% of the patients required keratorefractive surgery during the follow up period which resulted in 3.1 D reduction in CORNEAl astigmatism. Graft REJECTION occurred in 28.7% of cases however all episodes responded favorably to medical management and none resulted in graft failure. Two instances of graft failure occurred due to trauma.Conclusion: PENETRATING KERATOPLASTY is a relatively safe and effective surgical procedure in the management of keratoplasty; its optical and visual outcomes are remarkable and can be considered for contact lens- intolerant patients or those with unacceptable visual acuity.

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APA: Copy

FALAHI MOTLAGH, B., JAVADI, M.A., JAFARINASAB, M.R., RABANIKHAH, Z., ANISIAN, A., & SOURI, H.. (2004). OUTCOMES OF PENETRATING KERATOPLASTY FOR KERATOCONUS. JOURNAL OF CURRENT OPHTHALMOLOGY, 16(4), 9-19. SID. https://sid.ir/paper/53174/en

Vancouver: Copy

FALAHI MOTLAGH B., JAVADI M.A., JAFARINASAB M.R., RABANIKHAH Z., ANISIAN A., SOURI H.. OUTCOMES OF PENETRATING KERATOPLASTY FOR KERATOCONUS. JOURNAL OF CURRENT OPHTHALMOLOGY[Internet]. 2004;16(4):9-19. Available from: https://sid.ir/paper/53174/en

IEEE: Copy

B. FALAHI MOTLAGH, M.A. JAVADI, M.R. JAFARINASAB, Z. RABANIKHAH, A. ANISIAN, and H. SOURI, “OUTCOMES OF PENETRATING KERATOPLASTY FOR KERATOCONUS,” JOURNAL OF CURRENT OPHTHALMOLOGY, vol. 16, no. 4, pp. 9–19, 2004, [Online]. Available: https://sid.ir/paper/53174/en

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