Abstract | AIMS: To determine long term graft survival rates and visual results for different indications for penetrating keratoplasty from a single institution over 10 years and compare these to national outcome data. METHODS: Retrospective chart analysis. 784 records were available for review of 1096 consecutive penetrating keratoplasty procedures performed between 1990 and 1999 (72%). Outcomes of graft survival, visual acuity, and astigmatism were analysed and compared to national outcome data supplied by the UK Transplant Service. RESULTS: At 5 year follow up, overall graft survival was 66%. This was subdivided into 98% for keratoconus, 86% for viral keratitis, 85% for Fuchs' dystrophy, 84% for pseudophakic bullous keratopathy, 55% for regrafts, and 57% for other diagnoses. There was a significantly higher graft survival rate for all diagnostic subgroups except Fuchs' dystrophy at 3 years of follow up compared to the national average. Best corrected visual acuity at 5 years was 6/18 or better in 53% of cases. The mean keratometric astigmatism was 3.4 dioptres. CONCLUSION:
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Authors | P Beckingsale, I Mavrikakis, N Al-Yousuf, E Mavrikakis, S M Daya |
Journal | The British journal of ophthalmology
(Br J Ophthalmol)
Vol. 90
Issue 6
Pg. 728-31
(Jun 2006)
ISSN: 0007-1161 [Print] England |
PMID | 16714264
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Adult
- Aged
- Astigmatism
(etiology)
- Corneal Diseases
(surgery)
- Female
- Fuchs' Endothelial Dystrophy
(surgery)
- Graft Survival
- Humans
- Keratitis, Herpetic
(surgery)
- Keratoconus
(surgery)
- Keratoplasty, Penetrating
(standards)
- Male
- Middle Aged
- Reoperation
- Retrospective Studies
- Survival Analysis
- Treatment Outcome
- Visual Acuity
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