Factors Affecting Visual Outcomes In Patients With Traumatic Wound Dehiscence Following Keratoplasty
Published 2024 - 42nd Congress of the ESCRS
Reference: PO655 | Type: Free paper | DOI: 10.82333/2f5r-r708
Authors: Sushank Ashok Bhalerao* 1 , Prerana Shetty 1 , Sowjanya Vuyyuru 1 , Pratik Gogri 2 , Uma Thigale 1 , Divya Tara 1
1Shantilal Shanghvi Cornea Institute,L V Prasad Eye Institute,Vijayawada,India, 2Cornea and Anterior Segment,Agrawal Eye Hospital,Mumbai,India
Purpose
To determine the visual outcomes and identify factors affecting the visual outcomes in patients with traumatic wound dehiscence after keratoplasty at a tertiary eye care center in South India
Setting
Retrospective study at a tertiary eye care center in South India
Methods
In this retrospective study, we analyzed cases of traumatic wound dehiscence following keratoplasty. We examined patient demographics including age and gender, as well as variables such as mode of injury, the site of wound dehiscence and time elapsed between keratoplasty and trauma. Comprehensive ocular evaluations, including slit-lamp biomicroscopy and B-scan ultrasonography, were conducted to assess the posterior segment. Visual outcomes were determined by measuring best-corrected visual acuity (BCVA) during the final follow-up.
Results
Among 20 patients, 13 were males (65%) and 7 were females (35%). Our findings demonstrated improvements in visual outcomes, including BCVA and uncorrected visual acuity (UCVA), over a follow-up period ranging from 1 week to 5 years. No significant changes were observed in terms of the duration between keratoplasty and surgery, wound dehiscence sites, or the size of dehiscence. However, a statistically significant correlation (P = 0.005) was found between the duration from trauma to surgery and the outcomes.
Conclusions
Post trauma, wound dehiscence sites and keratoplasty-surgery interval showed no significant impact, the crucial link between trauma-surgery duration and outcomes was established. This emphasizes the importance of timely interventions, thereby enhancing patient care in such cases.