| Popis: |
Purpose:- To evaluate indications and outcome of Therapeutic Penetrating Keratoplasty(TPK) in rural population of central India. Method:- A retrospective review of 26 eyes of 26 patients who underwent TPK between January 2010 & March 2011 was done. The patients were reviewed for age, sex, indication of surgery, details of surgery, post-operative complications, anatomical integrity, visual outcome and graft clarity. Result:- Out of 26 patients, 22 were males and 4 were females, age range was between 16 -70 years and mean follow up period was 6 months. The most common indication for TPK was perforated corneal ulcer of fungal origin. Pre-operative visual acuity ranged from perception of light (PL+) to 3/60. Post-operative visual acuity remained same in 6 eyes (23.1%), improved to 6/60 in 13 eyes (50.0%), of which between 6/36 to 6/9 in 3 eyes. Anatomical integrity was achieved in all eyes (100%). Graft was clear in 13 (50%) eyes on last follow-up. Primary graft failure occurred in 3(11.5%) eyes, graft infection in 4 (15.3%) eyes and acute graft rejection in 2 (7.7%) eyes. One patient had graft dehiscence and 1 had wound leak, both required re-suturing. In 1 case re-graft was done and 1 case required Amniotic membrane transplant. Conclusion:- Therapeutic Penetrating Keratoplasty goes a long way by not only salvaging the eye and achieving anatomical integrity but also improves the patient’s vision. Del J Ophthalmol 2012;23(1):23-26. |
