Authors: N. Jirásková; P. Rozsíval; J. Urminský Authors‘ workplace: Oční klinika FN, Hradec Králové, přednosta prof. MUDr. P. Rozsíval, CSc. Published in: Čes. a slov. Oftal., , 1999, No. 6, p. 355-358 Category:
The authors refer clinical results of 100 consensual penetrating keratoplastiesperformed at the Department of Ophthalmology, University Hospital, HradecKrálové, in the year 1997. There were 55 women (55 %) and 45 men (45 %). Themean age of the patients was 58 years (range 18 - 84). The operation was performedfor keratoconus in 24 eyes (24 %), pseudophakic or aphakic endothelial failure in18 eyes (18 %), primary endothelial failure in 14 eyes (14 %), traumatic changes in18 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 18eyes (94.7 %) and for refractive error in 1 eye (5.3 %). The average follow-up periodwas 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 rejectionof the graft in 17 patients (23.0 %), endophthalmitis in 3 patients (4.1 %) andsecondary glaucoma in 4 patients (5.4 %).The results of this study indicate that despite the advantages achieved on thisfield, there is still scope for improvement.
Key words: corneal transplantation, clinical results
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