Surgical outcome of optical penetrating keratoplasty in a rural tertiary care hospital

  • Dr. Anand Balasaheb Temkar Junior resident, Department of Ophthalmology, Rural Medical College, Loni, PIMS, Ahmednagar, MH, India
  • Dr. Shubhangi P. Nigwekar Professor, Department of Ophthalmology, Rural Medical College, Loni, PIMS, Ahmednagar, MH, India
  • Dr. Akshay Bhandari Associate Professor, Department of Ophthalmology, Rural Medical College, Loni, PIMS, Ahmednagar, MH, India
  • Dr. Gauri Badhe Assistant Professor, Department of Ophthalmology, Rural Medical College, Loni, PIMS, Ahmednagar, MH, India
  • Dr. Aditya Arage Junior resident, Department of Ophthalmology, Rural Medical College, Loni, PIMS, Ahmednagar, MH, India
  • Dr. Paraali Shah Junior resident, Department of Ophthalmology, Rural Medical College, Loni, PIMS, Ahmednagar, MH, India
Keywords: Optical Penetrating Keratoplasty, Corneal Graft clarity, Post-Operative Complications of OPKP

Abstract

Introduction: Optical Penetrating Keratoplasty (OPKP) is the gold standard surgical treatment for full-thickness corneal lesions and it is a well-established effective and safe technique. We conducted this study to verify the surgical outcome of OPKP at our rural hospital.

Aims and Objectives: To study the surgical outcome of OPKP in relation to corneal graft Clarity, Best Corrected Visual Acuity (BCVA), and Post-Operative Complications (POC)

Material and Methodology: In this prospective longitudinal hospital-based study we obtained postoperative data from patient’s records operated for OPKP from August 2018 to October 2019 after taking permission from IEC and patient’s consent. We included 22 patients who completed a minimum one-year follow-up.

Results: Out of 22 OPKPs, 50.00% were males. 18.18% of patients were in the 41-50 yrs age group. 1) Graft clarity was seen in 59.09%. 2) BCVA > 6/18was observed in 9.09% pts. 3) POC – Graft failure was seen in 18.18%. Epithelial defect, Raised IOP, Uveitis, Cataract and Corneal vascularization were other problems.

Conclusion: Though graft failure is a major complication, OPKP gives good BCVA and faster visual rehabilitation.

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References

Kanski J.J. , Clinical Ophthalmology , 6th edition, p-337-43, Butterworth 1989

Krachmer JH, Mannis MJ, Holland EJ. Cornea: Fundamentals, Diagnosis, and Management: Mosby Elsevier; 2011

John N, Jose R, Vashist P, Murthy GV. National Program for control of blindness, Rapid Assessment of Avoidable Blindness in India Report 2006-2007.

Menezes de Freitas, et al. causes and risk factors for graft failure in surgeries performed by physicians in Fellowship training. Cornea. 25 (3): 251-256, April 2006

Dandona L, Naduvilah TJ, Janarthanan M, Raghu K, Rao, Gullapalli N, et al. Survival analysis and visual outcome in a large series of corneal transplants in India. Br J Ophthalmol

Shanbhag N, Cholera PP, Sahana N, Chen L, Sujatha TS. Evaluation of Graft Clarity Post-Penetrating Keratoplasty.

Outcome of optical penetrating keratoplasties at a tertiary care eye institute in Western India Shilpa A Joshi, Seema S Jagdale, Pranav D More, Madan Deshpande. Indian J Ophthalmol 1996;44:3-13.

Surgical outcomes of penetrating Keratoplasty in adults at rural hospitals. Nigwekar S. et al., Med. Res. Chronicles.,6(3),136 – 145

Williams KA, Lowe M, Bartlett C, Kelly TL, Coster DJ. Risk factors for human corneal graft failure within the Australian corneal graft registry. Transplantation 2008;86:1720-4

Coster DJ, Williams KA. The impact of corneal allograft rejection on the long-term outcome of corneal transplantation. Am J Ophthalmol 2005;140:1112-22

CITATION
DOI: 10.26838/MEDRECH.2021.8.2.482
Published: 2021-04-22
How to Cite
1.
Temkar AB, Nigwekar SP, Bhandari A, Badhe G, Arage A, Shah P. Surgical outcome of optical penetrating keratoplasty in a rural tertiary care hospital. Med. res. chronicles [Internet]. 2021Apr.22 [cited 2024Apr.25];8(2):64-7. Available from: https://medrech.com/index.php/medrech/article/view/481
Section
Original Research Article