Posters
Diagnostic endoscopy in corneal transplantation: better decision-making and optimal utilisation of sparse corneal tissue
Poster Details
First Author: P.Narang INDIA
Co Author(s): R. Mittal U. Vashist V. Mittal
Abstract Details
Purpose:
To assess utility of Diagnostic video endoscopy as a tool in the decision- making process and prognostication for corneal transplantation and Keratoprosthesis implantation.
Setting:
Prospective study at a tertiary care cornea referral centre
Methods:
38 eyes of 38 patients with opaque media (which precluded a comprehensive posterior segment examination through conventional viewing systems), were being planned for corneal transplantation, and did not show obvious total retinal detachment in a pre- operative B- scan ultrasonography were recruited for diagnostic video- endoscopy. Endoscopy showed the health of neuro-retinal rim, presence of total optic atrophy, macular scars, drusen, atrophy, areas of chorio-retinal atrophy, etiology of vitreous echoes or membranes, sclerosed vessels, retinal vessel occlusions, subhyaloid hemorrhage etc.
Results:
Out of the total 38 short-listed eyes, 18 eyes (47%) were considered to have a favourable prognosis to undergo corneal transplantation (in the form of penetrating keratoplasty, endothelial keratoplasty or keratoprosthesis) after being subjected to diagnostic endoscopy. The post- operative visual results correlated well with the estimations based on the diagnostic endoscopy findings and there were no post- surgical surprises.
Conclusions:
Diagnostic endoscopy has opened up a new dimension for the corneal surgeons in terms of helping in planning and prognosticating the success of a keratoplasty and more so for keratoprosthesis. It definitely helps in better utilisation of sparse and valuable donor cornea tissue for those who will actually benefit from it most (avoiding trial and error approach). Also, visual prognosis offered to the patients is closer to post- operative reality in such patients, thus increasing surgeon confidence as well as improving surgeon- patient relationship.
Financial Disclosure:
None
