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Rekeratoplasty with a smaller graft for graft rejection in previous penetrating keratoplasty

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First Author: B.Kasım TURKEY

Co Author(s):    B. Kasım   Y. Koçluk                 

Abstract Details

Purpose:

To analyze the patients with rekeratoplasty with a central smaller graft for graft rejection with previous penetrating keratoplasty (PKP).

Setting:

Department of ophthalmology, Adana City Research and Training Hospital, Yüreğir, Adana, Turkey.

Methods:

Patients' records of the cases with rekeratoplasty with a centrally placed smaller graft for graft rejection were analyzed. Diagnosis, graft size first, and the last PKP; best-corrected visual acuity, preoperatively and postoperatively and complications perioperative and postoperatively, were recorded.

Results:

Six eyes of 6 patients were included in this study. The median follow-up time was 30(23-50)months. In 5 eyes therapeutic PKP was performed for severe fungal keratitis and 1 eye for corneal melting due to exposure keratopathy. In 3 cases with fungal keratitis, rePKP was performed due to reinfection with the same or larger graft size. The median graft size was 11.0(9.0-15.0)mm. RePKP with smaller graft size was performed with a median graft size of 7.50(7.0-7.50)mm. No intraoperative complication was encountered. Secondary glaucoma was found in 4 patients, postoperatively. In the last visit, the graft was clear in 5 patients.

Conclusions:

Rekeratoplasty with a smaller graft size can be used for graft rejection in a previous PKP with a very large graft size to decrease the rates of complications, intraoperatively, and postoperatively.

Financial Disclosure:

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