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Penetrating keratoplasty after ocular trauma
G S Doren1, E J Cohen, S E Brady
1Cornea Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107.
American Journal of Ophthalmology
|October 15, 1990
Summary
Penetrating keratoplasty can restore vision after traumatic corneal opacity, with 82% of grafts remaining clear one year post-surgery. Despite high complication rates, good visual outcomes are achievable for these patients.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Corneal Transplantation
Background:
- Corneal opacity following trauma necessitates surgical intervention.
- Penetrating keratoplasty (corneal transplant) is a common procedure for vision restoration.
- Understanding outcomes after corneal transplant for trauma is crucial for patient management.
Observation:
- A review of 41 patients undergoing penetrating keratoplasty for traumatic corneal opacity between 1983 and 1988.
- The majority of patients were young males (average age 35) injured by common tools, often in work-related incidents.
- Corneal scars from perforating injuries were the most common indication (88%).
Findings:
- 82% of corneal grafts remained clear at one year post-transplant.
- Graft rejection occurred in 23% of patients, with only 33% of rejections resolving.
- 51% of patients achieved best-corrected visual acuity of 20/20 to 20/40.
Implications:
- Penetrating keratoplasty offers a viable option for vision recovery after severe eye trauma.
- Postoperative complications, including rejection and glaucoma, can impact outcomes.
- Despite challenges, favorable visual results are attainable, highlighting the importance of continued surgical advancements and patient monitoring.