Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

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Corneal transplantations at the 1st Department of Ophthalmology, AHEPA University Hospital during the period September 2011 to January 2016: an audit

Poster Details

First Author: D. Kapantais GREECE

Co Author(s):    A. Chranioti   A. Lioura   K. Marinopoulos   K. Stamoulas   A. Kiana   N. Ziakas     

Abstract Details


To report the leading indications, techniques, complications and visual outcomes of corneal transplantations from September 2011 to January 2016.


1st Department of Ophthalmology, AHEPA University Hospital, Thessaloniki, Greece.


Retrospective data of 307 corneal transplantations performed at AHEPA University Hospital were reviewed. Indications were classified into nine different groups: Pseudophakic bullous keratopathy, ectasias (keratoconus, keratoglobus), previous graft rejection, Fuchs’ keratopathy, corneal scar (post-traumatic or chemical), microbial keratitis (bacterial and fungal), herpetic keratopathy, corneal dystrophy and other.


The leading indications for corneal transplantations were:Pseudophakic bullous keratopathy (n=89[28.99%]), ectasias (n=65[21,17%]), previous graft rejection (n=49[15.96%]), Fuchs’ keratopathy (n=37[12.05%]), corneal scar (n=20[6.51%]), microbial keratitis (n=16[5.21%]), herpetic keratopathy (n=11[3.58%]), corneal dystrophy (n=6[1.95%]) and other (n=14[4.56%]). The most preferred transplantation technique remains penetrating keratoplasty(PK) (n=254[82.74%]) followed by Descemet's stripping endothelial keratoplasty(DSAEK-DSEK) (n=40[13.03%]), Descemet's membrane endothelial keratoplasty(DMEK) (n=7[2.28%]) and Deep anterior lamellar keratoplasty(DALK) (n=6[1.95%]). Mean best-corrected visual acuity(BCVA) was 1/10 preoperatively and improved to 2.3/10 post-operatively with an average follow-up of 16.97 months. The commonest complications were:Graft rejection (n=17[5.54%]), graft failure (n=14[4.56%]), glaucoma (n=4[1.30%]), iridocorneal adhesions (n=4[1.30%]), partially detached graft (n=3[0.98%]) and other (n=6[1.95%]).


Pseudophakic bullous keratopathy still remains the leading indication for corneal transplantation. Ectasias, previous graft rejection and Fuchs’ keratopathy have also remained consistent indications for keratoplasty during the last 5 years. Concerning the lamellar keratoplasty procedures, DSEK-DSAEK increased from 0% in 2010 to 13.03%, while DMEK and DALK increased from 0% to 2.28% and 1.95%, respectively. As far as the visual outcome is concerned, the patients gained a mean of 7 letters on the Snellen chart at a mean follow-up of 16.97 months. Complications were noted in the 15.64% of keratoplasties with graft rejection and graft failure being the commonest.

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