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- IRMS - Nicolae Testemitanu SUMPh
- 2. FACULTATEA DE MEDICINĂ nr.1 / FACULTY OF MEDICINE nr.1
- Catedra de oftalmologie și optometrie
- 13th Black Sea Ophthalmological Congress, 29 October-1 November, 2015 Chisinau, Republic of Moldova
- 13th Black Sea Ophthalmological Congress, 29 October-1 November, 2015 Chisinau, Republic of Moldova
Please use this identifier to cite or link to this item:
http://hdl.handle.net/20.500.12710/24047
Title: | Medium term results of penetrating keratoplasty |
Authors: | Chiselita, Dorin Alexa, Anisia-Iuliana Stefanache, Teodor Chihaia, Madalina-Adriana |
Issue Date: | 2015 |
Publisher: | Black Sea Ophthalmological Society, Ophthalmological Association from Moldova, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova |
Citation: | CHISELITA, Dorin, ALEXA, Anisia-Iuliana, STEFANACHE, Teodor, CHIHAIA, Madalina-Adriana. Medium term results of penetrating keratoplasty. In: 13th Black Sea Ophthalmological Society Congress, 29 October-1 November, 2015, Chisinau, Republic of Moldova: abstract book, 2015, p. 21. |
Abstract: | Purpose: This is a retrospective evaluation of penetrating keratoplasty for optical purpose in the Eye Clinic of the Clinical Emergency Hospital "St. Spiridon "Iasi. Methods: The study evaluated 51 eyes of 50 patients, mean age of patients was 50.8 years. Indications for penetrating keratoplasty were: stage IV keratoconus (31.3%), chronic corneal edema (29.4%), corneal dystrophies (17.6%), corneal leukoma (17.6%) and irreversible graft rejection (3.9%). Penetrating keratoplasties were performed by the same surgeon. Postoperatively, patients were evaluated regularly through a comprehensive eye exam. Mean follow-up was 22.7 months post-keratopsy (SD ± 20.8).
Results: During follow-up Results: During follow-up 73% did not show any postoperative complication, while 17% of cases showed an increased intraocular pressure; 10% developed acute graft rejection. Survival without acute rejection of the transplant is 95% at one year and 93% at two years. Aphakic or pseudophakic cases have higher risk of developing high intraocular pressure compared to phakic eye (41% vs 3%). Among patients where the keratoplasty was performed on phakic eye (28), only one developed secondary cataract. Glaucoma before the intervention is a risk factor for increased intraocular pressure unlike patients without glaucoma. Also, performing penetrating keratoplasty combined with another procedure in the same operation increases the risk of ocular hypertension in 32% versus 18% for keratoplasty alone. Secondary astigmatism 3 months or more after keratoplasty recorded values between -3.5 and + 5 D. 30 patients(63.8%) had a final visual acuity between 0.3-0.9 Snellen line. 27.4% of patients had a better visual acuity compared to fellow eye. Conclusion: Penetrating keratoplasty results are influenced by preoperative status, type of surgery and also by rigorous long-term follow-up of patients to prevent and address complications as soon as possible. |
metadata.dc.relation.ispartof: | 13th Black Sea Ophthalmological Congress, 29 October-1 November, 2015 Chisinau, Republic of Moldova |
URI: | http://repository.usmf.md/handle/20.500.12710/24047 |
Appears in Collections: | 13th Black Sea Ophthalmological Congress, 29 October-1 November, 2015 Chisinau, Republic of Moldova
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