Visual results after corneal transplantation

Abstract

The results of corneal transplantation can be measured by the percentage of clear grafts and by the subsequent visual acuity. In this study we summarized the visual results in five corneal diseases with a low rate of graft failure. Keratoconus patients achieved an average visual acuity of 0.5 one year after transplantation, while patients with corneal decompensation after previous cataract operation only reached an average of 0.2. Sometimes visual results were hampered by clouding of the graft and the reason for clouding was analysed in such cases. Reversible and irreversible rejections occurred with the highest frequency immediately after transplantation, and while in primary grafts 60% of rejections was reversible, only two out of ten repeat transplants could be saved. This indicates that more measures are necessary to prevent failure of secondary transplants in order to obtain the goal of useful vision.

A Comparison of Posterior Lamellar Keratoplasty Modalities: DLEK vs. DSEK

“…Moreover, when we compared the visual outcomes between groups, no significant differences in BCVA were identified at postoperative months 3, 6, or 12, with these results mirroring those of previously published reports. Furthermore, the visual outcomes achieved here were better than those previously reported for PKP [14,15], suggesting that PLK may be a better treatment option for patients with endothelial dysfunction.…”

Outcome of penetrating keratoplasty in patients with bilateral corneal blindness

“…There are only a few published studies of long-term visual outcome in cohorts of patients with mixed indications for graft. 6,7 To the best of our knowledge, there is no published study in which a comparative evaluation of visual outcome of penetrating keratoplasty in bilateral and unilateral corneal blind has been performed.…”