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. 2001 Jan;57(1):16-8.
doi: 10.1016/S0377-1237(01)80082-4. Epub 2011 Jul 21.

PENETRATING KERATOPLASTY IN HIGH RISK CASES

D P Vats  1 , J Parihar  2 , F Rodrigues  2 , N Ramchandran  3 , R G Dash  4 , H S Trehan  5 , M A Khan  5
Affiliations

PENETRATING KERATOPLASTY IN HIGH RISK CASES

D P Vats et al. Med J Armed Forces India. 2001 Jan.

Abstract

Penetrating Keratoplasty in high risk cases like paediatric patients, complicated cases of pseudophakic bullous keratopathy, or in patients with highly vascularized corneal opacities have been a challenge for opthalmologists because of the poor outcome. 101 patients with such high risk indications underwent penetrating keratoplasty. Some of them also underwent concurrent procedures like PC IOL implantation or vitrectomy. The patients' follow up period ranged from six months to four years. The results were evaluated. Good quality donor material, good intraoperative tissue handling, aggressive and meticulous postoperative management contributed to gratifying results. However chemical injuries and patients with dry eyes continued to have a bad prognosis and keratoplasty in these cases proved to be unrewarding.

Keywords: Concurrent procedures; Graft clarity; Penetrating keratoplasty, Regrafting; Triple procedure; Vascularized cornea; Visual outcome.

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