Experience of penetrating keratoplasties in 509 eyes at Al-Shifa trust eye hospital Rawalpindi

ABSTRACT

Keratoplasty is the leading organ transplant procedure in the world. Keratoplasties are being regularly performed at Al-Shifa Eye Hospital Rawalpindi since 1992. Results of our experience of 509 penetrating keratoplasties performed at our institution from 1992 to 2000 are being presented. A total of 509 Keratoplasties were done on 476 patients including 308 [65%] males and 168 [35%] females. Post operative corrected visual acuity was 6/12 or better in 45% cases. Associated procedures were performed on 77 eyes. Most important complications seen were, graft rejection [13%], secondary graft failure [8%], secondary glaucoma [7%] and secondary cataract [5.5%]. We conclude that these results compare favourably with other studies in the region and penetrating keratoplasty can effectively be performed with good visual out come in low risk cases with acceptable morbidity. Various associated procedures can also be safely added to the primary procedure in selected cases