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Corneal Biomechanics and intraocular pressure assessment after penetrating keratoplasty for non-keratoconic patients: long-term results

Poster Details

First Author: M.Abdel Aziz EGYPT

Co Author(s):                        

Abstract Details


To evaluate corneal biomechanical properties by the Ocular Response Analyzer (ORA) in non keratoconic patients underwent penetrating keratoplasty (PK).


Department of ophthalmology, Faculty of Medicine, Menoufia University, Egypt.


Corneal hysteresis (CH), corneal resistance factor (CRF), Goldmann- correlated intraocular pressure (IOPg), cornea-compensated IOP (IOPcc) using the ORA, and central graft thickness (CGT) were measured in 30 eyes at least two years after penetrating keratoplasty for non keratoconic indications. IOP using the Goldmann applanation tonometer (GAT) was also obtained after compensation for graft thickness and astigmatism.


The mean age of patients was 33.1 ± 10.13 years; indications for PK were herpetic corneal scar (53.3%), corneal stromal dystrophy (23.3%), traumatic corneal opacity (10%), chemical corneal opacity (6.7 %), and Fuchs endothelial dystrophy (6.7 %). Mean CH and CRF were 8.52 ± 1.81mmHg, and 8.56 ± 1.59 mmHg, respectively. Mean CGT was 532.43 ± 30 μm. Mean IOP GAT, IOPg, and IOPcc were 11.88 ± 3.66, 14.64 ± 4.08, and 17.27 ± 4.60 mmHg, respectively (P<0.001). There were significant negative association between CH with both IOP GAT and IOPcc, while CRF had significant positive association with IOPg.


After penetrating keratoplasty for non keratoconic patients, graft biomechanics does not return to average values even 2 years after the operation; moreover, intraocular pressure measurement with ORA gives higher values than thickness compensated GAT.

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