SURGICAL OUTCOME OF PENETRATING KERATOPLASTY IN ADULTS AT RURAL HOSPITAL

Abstract

Article History Received: April’ 2019 Accepted: May’ 2019 Introduction : Full thickness corneal opacities remain a challen ging situation. Unfortunately, they are more frequently seen in a rural area. PKP is indicated as gold standard surgery in full-t hickness corneal involvement as: nonhealing corneal ulcers, penetrat ing corneal trauma, dystrophies, degenerations and failed lamellar kera topl sties. This procedure is a well-established, effective and give s faster visual rehabilitation. Still, it has many postoperative co mplications like graft failure, graft rejection, cataract formation, glauc oma, and corneal vascularization. Purpose: To evaluate surgical outcome of penetrating keratop l sty done in adults having full thickness corneal lesion at a rural hospital in relation to 1) Clinical graft clarity 2) Best corrected visual acuity and 3) Occurrence of postoperative complications and indic ation for PKPs. Methods: In this hospital-based, a prospective study we stu died all cases that underwent PKP in adults at PRH Loni, by trained surgeons during a total 10 years period i.e. from January 20 08 to December 2017. Results: We studied 114 PKPs. There were 68 (59.64%) males. Clear graft in 59 (51.75%) in all PKPs and in optical PKP s graft clarity was 61.84%. Postoperative complications in 55 (48.24%). Best corrected V/A > 6/18 in 24 cases (21.05 %) more than 6/60 in 64 cases (56.14%) and >CF 3 Meter in 93 patients (81.58 %). Conclusions: Post PKP graft clarity and BCVA depends on indica tion for PKP. Graft failure and rejection are the major postoperative complications and PKP gives good best-corrected vis ion and faster rehabilitation in optical PKP.