Document Detail


Graft survival and visual outcome after simultaneous penetrating keratoplasty and cataract extraction.
MedLine Citation:
PMID:  23826538     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
AIM: To evaluate the indications, complications, and visual and graft survival outcomes in eyes that had undergone simultaneous cataract extraction and penetrating keratoplasty (PKP).
METHODS: We described a retrospective study of 101 patients who had undergone simultaneous cataract extraction and PKP at King Khaled Eye Specialist Hospital between January 1, 2001, and December 31, 2002. All patients were followed up postoperatively with maximum follow-up 68 months.
RESULTS: The mean age of patients was 61 years. The mean overall follow-up was 27 months. The most common indications for surgery were corneal scarring (45.5%), previous failed graft (15.8%), corneal ulcer (12.9%), Fuchs endothelial dystrophy (8.9%), stromal dystrophy (2.9%), and other conditions (14.5%). Overall, 69 grafts (68.3%) remained clear at final follow-up. Previous glaucoma or postoperative glaucoma had no statistically significant effects on graft outcome (P>0.05).The graft rejection rate (17.8%) was a significant risk factor for failure (P=0.00). Age, gender, indications for surgery, corneal graft diameter, and intraoperative vitreous loss had no statistically significant effects on the PKP outcome (P>0.05). Postoperative visual acuity was significantly associated with preoperative visual acuity (P<0.01).
CONCLUSION: The present study provides evidence that performing a combined procedure results in more rapid visual rehabilitation and good graft clarity.
Authors:
Mansour M Al-Mohaimeed
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Publication Detail:
Type:  Journal Article     Date:  2013-06-18
Journal Detail:
Title:  International journal of ophthalmology     Volume:  6     ISSN:  2222-3959     ISO Abbreviation:  Int J Ophthalmol     Publication Date:  2013  
Date Detail:
Created Date:  2013-07-04     Completed Date:  2013-07-05     Revised Date:  2013-07-08    
Medline Journal Info:
Nlm Unique ID:  101553860     Medline TA:  Int J Ophthalmol     Country:  China    
Other Details:
Languages:  eng     Pagination:  385-9     Citation Subset:  -    
Affiliation:
Department of Ophthalmology, College of Medicine, Qassim University, Qassim, Kingdom of Saudi Arabia.
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