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British Journal of Ophthalmology 2008;92:869-870; doi:10.1136/bjo.2008.145482
Copyright © 2008 by the BMJ Publishing Group Ltd.

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EDITORIAL

Stitched up: full thickness corneal grafts

Harminder S Dua1, Rakesh Jayaswal1, Dalia G Said1,2

1 Division of Ophthalmology and Visual Sciences, University of Nottingham, Nottingham, UK
2 Research Institute of Ophthalmology, Cairo, Egypt

Correspondence to:
Professor Harminder S Dua, Division of Ophthalmology, B Floor, Eye ENT Centre, University Hospital, Queen’s Medical Centre, Nottingham NG7 2UH, UK; harminder.dua@nottingham.ac.uk

Accepted 27 May 2008

The first 150 words of the full text of this article appear below.

Lamellar corneal grafts, both anterior and posterior, are rapidly taking over as procedures of choice for several indications requiring corneal transplantation. Despite the promised advantages of lamellar procedures, worldwide, penetrating keratoplasty (PK) remains the predominant procedure. In the future, even when the practice of PK diminishes, its consequences among those who have had the procedure will continue to be encountered for quite a while thereafter. Discounting primary graft failure, there are three main issues that have dogged PK ever since its inception. These are immune-mediated rejection, spherical and astigmatic refractive errors and a weak wound for the rest of the patient’s life. These are intricately inter-related, as interventions to deal with any one can affect the other(s). In this issue, Jeganathan et al report on a retrospective review of 947 consecutive patients who had received a PK. Of these, 5.4% required re-suturing. Individuals who required PK for microbial keratitis had . . . [Full text of this article]


Related Article

Resuturing following penetrating keratoplasty: a retrospective analysis
S V Jeganathan, S Ghosh, V Jhanji, E Lamoureux, H R Taylor, and R B Vajpayee
Br. J. Ophthalmol. 2008 92: 893-895. [Abstract] [Full Text] [PDF]






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