Dr. Abraham Kurian, Dr. Iodine Reghunadhan
AIM : To evaluate short term outcomes in patients underwent TPK as the primary surgical intervention,when indicated in the management of fungal keratitis.The primary outcomes assessed were eradication of infection & retention of globe integrity,while the secondary outcomes included graft clarity,visual outcome & complications.
MATERIALS METHODS : This is a prospective,observational study of 28 patients with fungal keratitis who underwent TPK as the primary surgical intervention.Fungal keratitis was diagnosed clinically & confirmed by KOH staining/ culture of corneal scrapings.TPK was done whenever indicated.The patients were followed up for at least 6 months.
RESULTS : Eradication of infection & anatomical success achieved in 82.1%,clear graft 10.7%,VA >6/60 3.6%,graft rejection 53.6%,graft failure 7.1%,secondary glaucoma 28.6%,cataract 10.7%.
CONCLUSION : TKP alone is effective in eradication of infection & anatomical success.However multiple interventions needed for acceptable final outcome.