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Bilateral penetrating autokeratoplasty

Poster Details

First Author: V.Naumenko RUSSIA

Co Author(s):    M. Pravosudova                    

Abstract Details

Purpose:

To study the results of penetrating autokeratoplasty in elderly patients with cornea dystrophy on one eye and blindness on the paired eye.

Setting:

St.Petersburg Branch of S.N. Fyodorov IR&TC �â�€�œEye Microsurgery�â�€�, Russia.

Methods:

Autokeratoplasties have been performed in 14 patients with secondary endothelial-epithelial cornea dystrophy on one eye and blindness on the paired eye. The age of patients varied from 65 to 85. In 11 cases the clear cornea from a blind eye was used to replace an opaque cornea on a fellow eye, and the abnormal cornea was transplanted on the blind eye. In 3 eyes it was done just after enucleation of the blind eye. Mean follow up was 8 years.

Results:

Intraoperative complications have not been observed. During postoperative period graft rejection has not been recorded. In the long-term follow-up the mean endothelium cell loss was 3%, the mean visual acuity was 0.16�Â�±0.08.

Conclusions:

Bilateral penetrating autokeratoplasty is an effective and safe alternative to other techniques in selected cases. Visual outcomes may not be as good as after a routine keratoplasty, but it can eliminate the risk of graft rejection, graft infection and associated glaucoma due to long-term use of topical corticosteroids.

Financial Disclosure:

NONE

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