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Indications for corneal grafting in Zimbabwe
N Mkanganwi1, S I Nondo, S Guramatunhu
1Department of Surgery, University of Zimbabwe, Medical School, Avondale, Harare. ssee@sdzim.com
Objective:
To assess the indications for corneal grafting in Zimbabwe.
Design:
Hospital based retrospective study.
Setting:
The study was conducted at Sekuru Kaguvi Eye Hospital.
Methods:
Data were collected for patients who had corneal grafts performed at Sekuru Kaguvi Eye Hospital during the period January 1992 to March 1998.
Results:
The leading indications for penetrating keratoplasty were keratoconus (26.8%), presumed post measles scarring (17.8%), pseudophakic bullous keratopathy (12.5%), corneal scarring due to Herpes simplex keratitis (10.7%) and corneal scarring due to trauma (10.7%). A change in the indications was observed during the study period. The outcome of corneal grafting was favourable with more than 75% experiencing significant improvement in vision.
Conclusion:
Indications for penetrating keratoplasty in Zimbabwe show a pattern different from those for the developed world. A change in the indications during the study reflects changes in local ophthalmic practice.