Dr. Sudesh Kumar Arya, A06388, Dr. Meenakshi Sindhu, Dr. Amit Raj, Dr. Ravi Kant Bamotra
Aim: To find out the indications and surgical outcome of therapeutic penetrating keratoplasty retrospectively.
Methods: A retrospective data of patients who underwent therapeutic penetrating keratoplasty from 1999 to 2014 was reviewed. Various parameters included in the study were demographic profile of patients, indications for surgery, microbiological status, donor tissue details and complications of the surgery. The results were assessed in terms of eradication of disease, anatomic success, graft clarity, visual acuity, and development of complications.
Results: A total of 358 eyes of 350 patients were studied of which 66% were male. The mean age of patients was 48.4±15.7 years. The main indications for surgery were fungal keratitis (38%) followed by mixed sloughing ulcers (32%). 10% of ulcers were perforated. 33% eyes were positive for organisms on culture of which 18% showed fungus and 10% showed bacteria. The commonest fungus and bacteria isolated were Aspergillus and pseudomonas respectively. The anatomical success and eradic