Results of penetrating keratoplasty performed at the Hospital of San José
Resultados de queratoplastias penetrantes realizadas en el Hospital de San José
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OBJECTIVE: To evaluate the postoperative results of penetrating keratoplasty in patients operated in the Hospital of San José during a period of 5 years.
METHODS: A retrospective analytical study was carried out, in which the clinical histories of all patients who underwent penetrating keratoplasty at the Hospital de San José, in the period between January 1996 and July 2001, were reviewed. clinical histories that met previously established selection criteria.
RESULTS: 75 clinical records were reviewed, of which 62 met the inclusion criteria. Sixty-six corneal transplants were performed in 62 patients. 44 were men and 18 women, with an average age of 43.95 years. The most common indications were keratoconus (42.9%), leucoma (28.3%), pseudophakic and aphakic biillose keratopathy (19%), and less frequent were marginal pellucid degeneration (3.2%) and active corneal ulcers ( 6.3%) The visual acuity improvement in lines was between +10 and -2 with an average improvement of + 3.11 lines of visual acuity. There was immunological rejection to the graft on one occasion in 31.7% of the cases.
CONCLUSION: Penetrating keratoplasty is a safe and effective procedure in the recovery of vision in many cases of significant limitation of it, thanks to advances in surgical techniques and better pharmacological control of immunological rejections. In this study, a correlation was found between the highest score of risk factors for rejection and their presence. 84.2% of the patients improved at least one line of visual acuity.
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