First Author: M.Bamashmus YEMEN
Co Author(s): H. AlAkhalee K. Al Nuseriy M. Farhan
Purpose:
Preoperative counseling for keratoplasty should include awareness of symptoms and signs of possible complications as early presentation can enhance long-term success. This study was designed to evaluate the reasons for presentation and outcome of emergency visits and the management of post-keratoplasty complications.
Setting:
This retrospective study included a total of 134 post-keratoplasty patients at the cornea unit in Yemen Magrabi Hospital in Sana'a between 2008 and 2010.
Methods:
Reasons for hospital visits, presenting symptoms, complications and outcome of emergency visits were evaluated and analyzed.
Results:
The most common indication for keratoplasty was keratoconus in 103 patients (76.9%) followed by bullous keratopathy (4.5%) and corneal dystrophy (4.5%). 79 (59.0%) patients presented for emergency visits. Pain and foreign body sensation were the main presenting symptoms. Loose irritating sutures (50.8%), and graft rejection (17.7%) were the most common diagnoses. Twelve patients (15.2%) were admitted to the hospital for re-suturing.
Conclusions:
Proper postoperative care is critical for a successful keratoplasty; early intervention of sight threatening complications increases the chance of graft survival and best-obtained vision. In our corneal transplantation service, all patients are routinely instructed to arrange a same day emergency visit if they experience any symptoms in eyes that have undergone keratoplasty. Early intervention of sight threatening complications increases the chance of graft survival and best-obtained vision. FINANCIAL DISCLOSURE?: No
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