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Analysis of long-term results of surgical treatment of advanced keratoconus in adolescents

Poster Details

First Author: G.Zainutdinova RUSSIA

Co Author(s):    M. Bikbov   E. Lukyanova           

Abstract Details

Purpose:

To conduct analysis of medical records of adolescents with advanced stages of keratoconus (KC) in late terms after epikeratoplasty and penetrating keratoplasty.

Setting:

UFA Eye research institute, UFA, Russia.

Methods:

Over the 2008 to 2013 period Ufa Eye Research Institute performed surgeries in18 patients (16 boys, 2 girls) aged 16,9 ± 1,1 years. EKP was performed in 16 adolescents (18 eyes) with KC including 9 (11 eyes) with the 3d stage, 1 (1 eye) with the 4th stage and 4 patients (4 eyes) with acute KC. PKP was performed in 1 patient (1 eye) with the 4th stage and 1 (1 eye) with acute KC. Intact donor cornea was transplanted. No complications during and after surgery were observed.

Results:

Stabilization of process and improvement of the visual functions were observed in all cases during the 3 year follow-up period. Uncorrected visual acuity increased from 0,035 ± 0,07 to 0,35 ± 0,09, corrected visual acuity – up to 0,54 ± 0,07, central corneal thickness was equal to 389 ± 1,26 to 740,1 ± 1,16 um, the refractive power of the cornea lowered from 62,5 ± 0,7 to 45,9 ± 0,9 D. After PKP in both children the graft remained transparent during the follow-up period of five years, visual acuity was above 0.2, and 0.6, respectively.

Conclusions:

Epikeratoplasty as well as penetrating keratoplasty at advanced stages of keratoconus in adolescents is an optimal treatment solution enables to stabilize the disease and improve visual function.

Financial Disclosure:

NONE

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