Clinical Results of Corneal Triple Procedure and Risk Factors for Graft Failure
Journal of the Korean Ophthalmological Society
;
: 1607-1613, 2007.
Artículo
en Coreano
| WPRIM
| ID: wpr-15126
ABSTRACT
PURPOSE:
To evaluate the clinical results of corneal triple procedure, as well as the causes and the risk factors for graft failure.METHODS:
Indications, survival period of graft, causes of graft failure, and risk factors for failure in 29 patients (29 eyes) who had undergone penetrating keratoplasty combined with cataract surgery and intraocular lens (IOL) implantation were retrospectively analyzed.RESULTS:
The most common primary indication of corneal triple procedure was bacterial keratitis (24%), followed by corneal trauma, herpes simplex keratitis, and graft failure. The average survival period of corneal graft in corneal triple procedure was 29.2+/-23.2 months. The most common cause of graft failure was allograft rejection (56.3%). The risk factors of graft failure by an univariate analysis were preoperative unfavorable diagnosis (bullous keratopathy, corneal ulcer, and trauma), corneal neovasculization, intraoperative additional procedure (anterior vitrectomy, synechiolysis, and anterior chamber irrigation), immune rejection, and postoperative glaucoma, but were unrelated to methods of cataract surgery, graft size, or IOL position. In a multivariate analysis, graft rejection and corneal neovascularization were identified as risk factors for graft failure in patients undergoing triple procedure.CONCLUSIONS:
Corneal graft in corneal triple procedure had various success rates according to the many factors. Risk factors for graft failure included graft rejection and corneal neovascularization.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Vitrectomía
/
Catarata
/
Úlcera de la Córnea
/
Glaucoma
/
Análisis Multivariante
/
Estudios Retrospectivos
/
Factores de Riesgo
/
Queratoplastia Penetrante
/
Queratitis Herpética
/
Neovascularización de la Córnea
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Año:
2007
Tipo del documento:
Artículo
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