Original ArticlesIndications for and outcomes of repeat penetrating keratoplasty, 1989–1995
Section snippets
Materials and methods
We reviewed the hospital and office charts of repeat penetrating keratoplasties performed by any one of five corneal surgeons at Wills Eye Hospital between January 1, 1989, and December 31, 1995. Information that was reviewed included patient gender and age, dates of previous and most recent penetrating keratoplasties, clinical diagnosis before the initial graft, reason for graft failure, total number of grafts performed, final visual acuity, graft clarity, and reason for regraft failure, if
Results
Compared with the previous study period of 1983 to 1988, the total number and percentage of regrafts for all surgeons at Wills Eye Hospital for the study period of 1989 to 1995 have increased from 233 (of 2299, or 10%) to 434 (of 2442, or 18%) (P < 0.01).2, 3 For our subspecialty cornea group, the total number and percentage of regrafts reveals a similar increase from 165 (of 1860, or 9%) to 271 (of 1689, or 16%) (P < 0.01).1 Between 1989 and 1995, all of the 1689 corneal transplants were
Discussion
Since the report by Rapuano and associates in 1990, there have been no studies providing updated results on the indications for and outcomes of repeat penetrating keratoplasty. Several studies, however, have been published in the past few years investigating the indications for penetrating keratoplasty. Recently, Lois et al2 reported data on the indications for penetrating keratoplasty from the years 1989 to 1995 at our institution as an update to the study published by Brady et al in 1989.3 We
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Descemet Membrane Endothelial Keratoplasty Versus Descemet Stripping Automated Endothelial Keratoplasty and Penetrating Keratoplasty
2019, American Journal of OphthalmologyLong-term Functional and Anatomic Outcomes of Repeat Graft After Optically Failed Therapeutic Keratoplasty
2018, American Journal of OphthalmologyCitation Excerpt :Regraft is one of the leading indications for keratoplasty and constitutes 8%-41% of cases involving patients undergoing keratoplasty.9–19 Graft survival after a repeat keratoplasty ranges from 25% to more than 90%, with the primary diagnosis influencing the eventual prognosis.6,19,20 Regraft in cases with keratoconus has a better graft survival and functional success than in vascularized corneal scars or Fuchs dystrophy.6
Practical assessment of DSAEK in the management of endothelial decompensation following penetrating keratoplasty
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2017, American Journal of OphthalmologyCitation Excerpt :We did not record any graft rejection episodes or graft failure in our patients during a mean follow up of 26 ± 18 months and 32 ± 15 months from the DALK and DSAEK surgeries, respectively. Again, this compares favorably to the graft survival rates published for repeat PK.9–14 As pre-DALK ECD could be measured only in 4 of 13 eyes owing to the stromal opacities, the ECD of the DSAEK donor tissue determined at the eye bank was used in all cases for comparison with post-DALK ECD values, thus taking into account the surgical trauma related to both DSAEK and DALK.