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Year : 2014  |  Volume : 3  |  Issue : 2  |  Page : 92-95

Early results following penetrating keratoplasty at a secondary care center, India

1 Department of Ophthalmology, P. D. U. Medical College, Rajkot, Gujarat, India
2 Department of Community Medicine, P. D. U. Medical College, Rajkot, Gujarat, India

Correspondence Address:
Rajesh K Chudasama
Vandana Embroidery, Matoshree Complex, Sardar Nagar Main Road, Rajkot - 360 001, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-0521.134861

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Background: Penetrating keratoplasty (PKP) is a safe, effective, and a reasonable treatment for corneal blindness in many countries. The study was conducted with the objective to assess the visual outcome after optical PKP at a secondary-level hospital. Materials and Methods: A total of 30 eyes of 30 patients enrolled prospectively in the hospital for surgery were selected for the study from May 2010 to April 2011. Age, gender, eye, indication of PKP, and best-corrected visual acuity (BCVA) constituting the preoperative data were recorded in a predesigned proforma. Follow-up examinations were done at the time of discharge, second at 1 month, and third on completion of 3 months postoperatively. Results: Common indications for optical PKP were bullous keratopathy either pseudophakic or aphakic; corneal scar following viral keratitis or trauma, corneal dystrophy, and graft failure. At 3 months follow-up, BCVA of ≥6/18 was obtained in six patients (20%), 6/18-6/60 in 43.33% and ≤6/60 in 36.67% patients. Persistent epithelial defects, graft rejection mainly endothelial type late graft rejection, and secondary glaucoma were the most common complications found. Conclusion: The study found the main indication for optical PKP was bullous keratopathy, either pseudophakic or aphakic. The persistent epithelial defect and graft rejection were the main complications in the study. Astigmatism, preexisting abnormalities such as glaucoma, optic atrophy, and graft failure were probable causes of less BCVA.

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