Your browser doesn't support javascript.
loading
Anatomical and functional graft survival, 10 years after epikeratoplasty in keratoconus.
Indian J Ophthalmol ; 2013 Jan-Feb; 61(1): 18-22
Artigo em Inglês | IMSEAR | ID: sea-145338
ABSTRACT

Purpose:

To report outcomes of epikeratoplasty in keratoconus (KC), utilizing manually-prepared plano donor lenticules in terms of flattening of the cone, reduction in astigmatism and improvement in the visual acuity. Materials and

Methods:

Patients with KC, having visual acuity <20/200, astigmatism >12 diopters (D) but without corneal opacity underwent epikeratoplasty, using manually prepared plano donor lenticules from fresh or M.K preserved corneas, between 1990 - 2000 and followed for 10 years, were included in this report. Visual acuity slit-lamp-biomicroscopy, keratometry, and refraction were performed at 8 weeks, 12 weeks, and 6 months for all 59 patients. The same were carried out at 1 year, 5 years, and 10 years depending upon the availability of the patient for that period.

Results:

Of the 59 patients, only 26 were available for follow-up after 10 years. At 3 months, 1 year and 5 years, best corrected visual acuity of (BCVA) ≥20/60 were achieved in 84.7%, 84.4% and 80.3% of eyes, respectively. BCVA was 73% at 10-year follow- up, which was due to the presence of posterior subcapsular cataract (PSC). The average keratometric astigmatism and average flattening in diopters stabilized at the end of 3 months, which remained constant at 1, 5, and 10-year follow-up. The average diopter of myopia was stabilized by 1 year, which was almost same at 10 year. Graft was clear in all but 1 eye at 10 year follow-up.

Conclusion:

Epikeratoplasty is a useful technique for keratoconic eyes without apical scarring who fail or unable to use contact lenses.
Assuntos

Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Pacientes / Astigmatismo / Humanos / Seguimentos / Resultado do Tratamento / Epiceratofacia / Transplantes / Sobrevivência de Enxerto / Ceratocone Tipo de estudo: Estudo observacional / Estudo prognóstico Idioma: Inglês Revista: Indian J Ophthalmol Ano de publicação: 2013 Tipo de documento: Artigo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Pacientes / Astigmatismo / Humanos / Seguimentos / Resultado do Tratamento / Epiceratofacia / Transplantes / Sobrevivência de Enxerto / Ceratocone Tipo de estudo: Estudo observacional / Estudo prognóstico Idioma: Inglês Revista: Indian J Ophthalmol Ano de publicação: 2013 Tipo de documento: Artigo