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  Česky / Czech version Čs. Oftal., 55, 1999, No. 6, p. 355 - 358
 
Clinical Results of 100 Penetrating Keratoplasties 
Jirásková N., Rozsíval P., Urminský J. 

 


Summary:

       The authors refer clinical results of 100 consensual penetrating keratoplasties performed at the Department of Ophthalmology, University Hospital, Hradec Králové, in the year 1997. There were 55 women (55 %) and 45 men (45 %). The mean age of the patients was 58 years (range 18 - 84). The operation was performed for keratoconus in 24 eyes (24 %), pseudophakic or aphakic endothelial failure in 18 eyes (18 %), primary endothelial failure in 14 eyes (14 %), traumatic changes in 18 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 18 eyes (94.7 %) and for refractive error in 1 eye (5.3 %). The average follow-up period was 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 rejection of the graft in 17 patients (23.0 %), endophthalmitis in 3 patients (4.1 %) and secondary glaucoma in 4 patients (5.4 %). The results of this study indicate that despite the advantages achieved on this field, there is still scope for improvement.

        Key words: corneal transplantation, clinical results
       

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