Clinical Results of 100 Penetrating Keratoplasties

Overview

The authors refer clinical results of 100 consensual penetrating keratoplastiesperformed at the Department of Ophthalmology, University Hospital, HradecKrálové, in the year 1997. There were 55 women (55 %) and 45 men (45 %). Themean age of the patients was 58 years (range 18 - 84). The operation was performedfor keratoconus in 24 eyes (24 %), pseudophakic or aphakic endothelial failure in18 eyes (18 %), primary endothelial failure in 14 eyes (14 %), traumatic changes in18 eyes (18 %), postinflammatory changes in 7 eyes (7 %). The repeated transplan-tation was performed in 19 cases (19 %), for rejection of the previous graft in 18eyes (94.7 %) and for refractive error in 1 eye (5.3 %). The average follow-up periodwas 10 months (range 6 - 17 months). For the control analysis 74 patients (74 %)were available. The best corrected visual acuity was 6/6 - 6/18 in 21 eyes (28.4 %)and 6/24 - 6/60 in 15 eyes (20.3 %). Postoperative complications comprised rejectionof the graft in 17 patients (23.0 %), endophthalmitis in 3 patients (4.1 %) andsecondary glaucoma in 4 patients (5.4 %).The results of this study indicate that despite the advantages achieved on thisfield, there is still scope for improvement.

Key words:
corneal transplantation, clinical results