THE RESULTS OF PENETRATING KERATOPLASTY FOR KERATOCONUS
<p>Background. To evaluate etiology, indications, results and complication rates associated with corneal transplantation for keratoconus.</p><p>Methods. In this retrospective clinical study, 101 eyes of 79 patients had corneal transplantation. Mean age at surgery was 30.5 years. Fo...
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| Format: | Article |
| Language: | English |
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Slovenian Medical Association
2002-12-01
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| Series: | Zdravniški Vestnik |
| Subjects: | |
| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/1716 |
| _version_ | 1818308558296449024 |
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| author | Vesna Morela Kristina Mikek |
| author_facet | Vesna Morela Kristina Mikek |
| author_sort | Vesna Morela |
| collection | DOAJ |
| description | <p>Background. To evaluate etiology, indications, results and complication rates associated with corneal transplantation for keratoconus.</p><p>Methods. In this retrospective clinical study, 101 eyes of 79 patients had corneal transplantation. Mean age at surgery was 30.5 years. Follow up period was 2 to 25 yrs. All surgeries were performed by one surgeon. Candidate for surgery were patients who cannot tolerate contact lenses or are not adequately visually rehabilitated by them. Before surgery the best corrected visual acuity was 0.05 to 0.3 in 27%; 73% of patients had uncorrected visual acuity hand movement or counting fingers.</p><p>Results. Best corrected visual acuity postoperatively was in 72% of patients 0.5 to 1.0and in 26% 0.4 to 0.1. 2% of patients had visual acuity less than 0.1. In all cases we had postkeratoplasty astigmatism of 2.5 ± 4.75Cyl with or without residual myopia. The most often postoperative complication was graft rejection (10%) which was successfully treated with medications. Unsuccessfull rate was 3%.</p><p>Conclusions. The improved results, low complication rate, and postoperative enhancement management indicate that corneal transplantation is a viable option in the clinical course of keratoconus. The optimal visual acuity postoperatively is achieved with contact lens, which correct postoperative astigmatism and myopia. Improvements in refractive surgery can help manage with postkeratoplasty astigmatism and myopia.</p> |
| first_indexed | 2024-12-13T07:16:11Z |
| format | Article |
| id | doaj.art-0f714de7595b4873a7add21cae6c7039 |
| institution | Directory Open Access Journal |
| issn | 1318-0347 1581-0224 |
| language | English |
| last_indexed | 2024-12-13T07:16:11Z |
| publishDate | 2002-12-01 |
| publisher | Slovenian Medical Association |
| record_format | Article |
| series | Zdravniški Vestnik |
| spelling | doaj.art-0f714de7595b4873a7add21cae6c70392022-12-21T23:55:33ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242002-12-017101231THE RESULTS OF PENETRATING KERATOPLASTY FOR KERATOCONUSVesna Morela0Kristina Mikek1Očesni oddelek Splošna bolnišnica Novo mesto Šmihelska cesta 1 8000 Novo mestoOčesna klinika Klinični center Zaloška 29 1525 Ljubljana<p>Background. To evaluate etiology, indications, results and complication rates associated with corneal transplantation for keratoconus.</p><p>Methods. In this retrospective clinical study, 101 eyes of 79 patients had corneal transplantation. Mean age at surgery was 30.5 years. Follow up period was 2 to 25 yrs. All surgeries were performed by one surgeon. Candidate for surgery were patients who cannot tolerate contact lenses or are not adequately visually rehabilitated by them. Before surgery the best corrected visual acuity was 0.05 to 0.3 in 27%; 73% of patients had uncorrected visual acuity hand movement or counting fingers.</p><p>Results. Best corrected visual acuity postoperatively was in 72% of patients 0.5 to 1.0and in 26% 0.4 to 0.1. 2% of patients had visual acuity less than 0.1. In all cases we had postkeratoplasty astigmatism of 2.5 ± 4.75Cyl with or without residual myopia. The most often postoperative complication was graft rejection (10%) which was successfully treated with medications. Unsuccessfull rate was 3%.</p><p>Conclusions. The improved results, low complication rate, and postoperative enhancement management indicate that corneal transplantation is a viable option in the clinical course of keratoconus. The optimal visual acuity postoperatively is achieved with contact lens, which correct postoperative astigmatism and myopia. Improvements in refractive surgery can help manage with postkeratoplasty astigmatism and myopia.</p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1716penetrating keratoplastykeratoconusvisual acuitypostoperative astigmatismother postoperative complications |
| spellingShingle | Vesna Morela Kristina Mikek THE RESULTS OF PENETRATING KERATOPLASTY FOR KERATOCONUS Zdravniški Vestnik penetrating keratoplasty keratoconus visual acuity postoperative astigmatism other postoperative complications |
| title | THE RESULTS OF PENETRATING KERATOPLASTY FOR KERATOCONUS |
| title_full | THE RESULTS OF PENETRATING KERATOPLASTY FOR KERATOCONUS |
| title_fullStr | THE RESULTS OF PENETRATING KERATOPLASTY FOR KERATOCONUS |
| title_full_unstemmed | THE RESULTS OF PENETRATING KERATOPLASTY FOR KERATOCONUS |
| title_short | THE RESULTS OF PENETRATING KERATOPLASTY FOR KERATOCONUS |
| title_sort | results of penetrating keratoplasty for keratoconus |
| topic | penetrating keratoplasty keratoconus visual acuity postoperative astigmatism other postoperative complications |
| url | http://vestnik.szd.si/index.php/ZdravVest/article/view/1716 |
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