BACKGROUND The surgical wound after penetrating keratoplasty is more vulnerable to contusive trauma than the intact cornea. OBJECTIVES To assess the incidence of ocular trauma following penetrating keratoplasty, and to evaluate its causative factors, management, and visual outcome. SETTING Tertiary referral facility in a fairly closed population. METHODS Retrospective study assessing ocul...

AIM 10 eyes of 10 patients are reported where progression of keratoconus in the host cornea occurred more than 10 years after penetrating keratoplasty with resultant increase in astigmatism. The technique and results of graft refractive surgery in seven eyes are presented. METHODS The clinical features and management of these patients were retrospectively analysed. Graft refractive surgery in...

AIMS After keratoplasty, postoperative endothelial cell loss is calculated between the eye bank endothelial cell density (ebECD) and the postoperative specular microscopy (SM). To elucidate the very early cell loss, always described after penetrating keratoplasty (PK), we designed two complementary studies. METHODS (1) Clinical prospective study of 90 consecutive PKs (keratoconus, Fuchs' corn...

PURPOSE To evaluate the clinical indications and postoperative results of iris-sutured posterior chamber intraocular lens implants performed during penetrating keratoplasty. METHODS Medical records were retrospectively reviewed for preoperative indications and postoperative results of 342 consecutive patients (366 eyes) who underwent iris suturing of a posterior chamber intraocular lens impla...

PURPOSE To report the adverse event of topical tosufloxacin administered after penetrating keratoplasty in one patient. CASE REPORT A 60-year-old female was referred to our hospital for treatment of vision loss due to corneal opacification, etiology was unknown. Slit lamp examination showed dense opacification in corneal stroma. Penetrating keratoplasty was performed on her left eye. She was ...

Aim: 10 eyes of 10 patients are reported where progression of keratoconus in the host cornea occurred more than 10 years after penetrating keratoplasty with resultant increase in astigmatism. The technique and results of graft refractive surgery in seven eyes are presented. Methods: The clinical features and management of these patients were retrospectively analysed. Graft refractive surgery in...

PURPOSE To establish which factors influence visual outcome after penetrating keratoplasty combined with intraocular lens implantation. METHODS This retrospective noncomparative clinical interventional case series study included 135 consecutive patients (mean age 70.2 +/- 13.6 years) who underwent central penetrating allogenic keratoplasty combined with intraocular lens (IOL) implantation, al...

AIMS To describe the fitting of patients with high or irregular astigmatism following penetrating keratoplasty with contact lenses and to answer the question whether or not contact lenses with special back surface design can improve visual acuity in complex cases after penetrating keratoplasty. METHODS 28 eyes were included. They were fitted with contact lenses with a special back surface tha...

Stenotrophomonas maltophilia (S. maltophilia) is an emerging opportunistic ocular pathogen that should be included in the diff erential diagnosis of progressive keratitis in penetrating keratoplasty. Prognosis is poor because of the existence of co-infections and high antibiotic resistance. Th e present study reports two cases of keratitis caused by S. maltophilia in patients with penetrating k...

Purpose: To compare clinical outcomes following penetrating keratoplasty (PK) versus deep anterior lamellar keratoplasty (DALK) for keratoconic patients with vernal keratoconjunctivitis (VKC). Methods: In this retrospective comparative study, the records of 69 keratoconic eyes with VKC that underwent PK (n=43, group 1) or DALK (n=26, group 2) were compiled. Postoperative best-corrected visual a...