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Keratoplasty in patients with intellectual disability
Barbara Koller1, Thomas F Neuhann, Irmingard M Neuhann
1Eye Department, Red Cross Hospital, Munich, Germany.
Cornea
|November 5, 2013
Summary
Keratoplasty offers significant visual benefits for patients with intellectual disability (ID), with high graft survival rates. This corneal transplant procedure is a viable option when visual demands exceed patient capabilities.
Area of Science:
- Ophthalmology
- Genetics
- Disability Studies
Background:
- Intellectual disability (ID) can present unique challenges in managing eye conditions.
- Keratoplasty is a surgical procedure to restore vision by replacing a damaged cornea.
Purpose of the Study:
- To evaluate the outcomes of keratoplasty in patients with intellectual disability (ID).
- To assess graft survival and visual results in this specific patient population.
Main Methods:
- Retrospective analysis of patients with ID who underwent keratoplasty between 1991 and 2010.
- Data collection included patient charts and ophthalmologist consultations.
- Follow-up examinations were conducted to assess graft status and visual acuity.
Main Results:
- 38 eyes from 29 patients underwent 53 keratoplasty procedures.
- The primary indication for keratoplasty was keratoconus (33/35 eyes).
- Primary graft survival was 86% (30/35), with 89% (34/38) of grafts clear at last follow-up.
Conclusions:
- Keratoplasty provides substantial visual improvement for the majority of patients with ID.
- While generally successful, some adverse outcomes were noted.
- The procedure should be considered for individuals with ID when their visual needs are unmet.
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