Outcome of penetrating keratoplasty in corneal ulcer: a single-center experience

Mohammad Reza Sedghipour, Rana Sorkhabi, Abdollah Shenasi, Hassan DehghanDepartment of Ophthalmology, Tabriz University of Medical Sciences, Tabriz, IranBackground: Corneal ulcers often lead to scarring and astigmatism, and significant loss of vision is a common consequence.Objective: To determine t...

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Autores principales: Sedghipour MR, Sorkhabi R, Shenasi A, Dehghan H
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Lenguaje:EN
Publicado: Dove Medical Press 2011
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Acceso en línea:https://doaj.org/article/e649930aac3b456abee410db900985b5
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spelling oai:doaj.org-article:e649930aac3b456abee410db900985b52021-12-02T03:49:59ZOutcome of penetrating keratoplasty in corneal ulcer: a single-center experience1177-54671177-5483https://doaj.org/article/e649930aac3b456abee410db900985b52011-09-01T00:00:00Zhttp://www.dovepress.com/outcome-of-penetrating-keratoplasty-in-corneal-ulcer-a-single-center-e-a8212https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Mohammad Reza Sedghipour, Rana Sorkhabi, Abdollah Shenasi, Hassan DehghanDepartment of Ophthalmology, Tabriz University of Medical Sciences, Tabriz, IranBackground: Corneal ulcers often lead to scarring and astigmatism, and significant loss of vision is a common consequence.Objective: To determine the rate of graft rejection, one of the most serious concerns with this procedure, and to evaluate the recovery of visual function in those patients for whom the operation was successful.Methods: We describe a retrospective study of 33 corneal ulcer patients undergoing penetrating keratoplasty (PK) at the Tabriz Nikookari Eye Hospital.Results: Mean age of the patients was 44 ± 14 years. Most common risk factors for active keratitis were trauma, dry eye, and malnutrition. Culture-positive results included bacterial keratitis (n = 15) and fungal keratitis (n = 5). Perforation was a significant risk factor for therapeutic failure (P < 0.05). Age or gender had no statistically significant effects on the PK outcome (P > 0.05). Postoperative visual acuity had a significant association with preoperative visual acuity (P < 0.01). Graft rejection rate (27.2%) was similar to that reported in the literature.Conclusion: Although lamellar keratoplasty has recently been established, there are practical reasons for continuing the use of PK in centers such as ours, with due attention to the requirement for topical immunosuppression to diminish the rate of graft rejection and antimicrobial treatment to prevent postoperative infection.Keywords: keratitis, ulcerative, graft rejection, perforation Sedghipour MRSorkhabi RShenasi ADehghan HDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1265-1268 (2011)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Sedghipour MR
Sorkhabi R
Shenasi A
Dehghan H
Outcome of penetrating keratoplasty in corneal ulcer: a single-center experience
description Mohammad Reza Sedghipour, Rana Sorkhabi, Abdollah Shenasi, Hassan DehghanDepartment of Ophthalmology, Tabriz University of Medical Sciences, Tabriz, IranBackground: Corneal ulcers often lead to scarring and astigmatism, and significant loss of vision is a common consequence.Objective: To determine the rate of graft rejection, one of the most serious concerns with this procedure, and to evaluate the recovery of visual function in those patients for whom the operation was successful.Methods: We describe a retrospective study of 33 corneal ulcer patients undergoing penetrating keratoplasty (PK) at the Tabriz Nikookari Eye Hospital.Results: Mean age of the patients was 44 ± 14 years. Most common risk factors for active keratitis were trauma, dry eye, and malnutrition. Culture-positive results included bacterial keratitis (n = 15) and fungal keratitis (n = 5). Perforation was a significant risk factor for therapeutic failure (P < 0.05). Age or gender had no statistically significant effects on the PK outcome (P > 0.05). Postoperative visual acuity had a significant association with preoperative visual acuity (P < 0.01). Graft rejection rate (27.2%) was similar to that reported in the literature.Conclusion: Although lamellar keratoplasty has recently been established, there are practical reasons for continuing the use of PK in centers such as ours, with due attention to the requirement for topical immunosuppression to diminish the rate of graft rejection and antimicrobial treatment to prevent postoperative infection.Keywords: keratitis, ulcerative, graft rejection, perforation 
format article
author Sedghipour MR
Sorkhabi R
Shenasi A
Dehghan H
author_facet Sedghipour MR
Sorkhabi R
Shenasi A
Dehghan H
author_sort Sedghipour MR
title Outcome of penetrating keratoplasty in corneal ulcer: a single-center experience
title_short Outcome of penetrating keratoplasty in corneal ulcer: a single-center experience
title_full Outcome of penetrating keratoplasty in corneal ulcer: a single-center experience
title_fullStr Outcome of penetrating keratoplasty in corneal ulcer: a single-center experience
title_full_unstemmed Outcome of penetrating keratoplasty in corneal ulcer: a single-center experience
title_sort outcome of penetrating keratoplasty in corneal ulcer: a single-center experience
publisher Dove Medical Press
publishDate 2011
url https://doaj.org/article/e649930aac3b456abee410db900985b5
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AT dehghanh outcomeofpenetratingkeratoplastyincornealulcerasinglecenterexperience
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