gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Evaluation of clinical condition and in-vivo confocal microscopy of corneal grafts 30 and more years after penetrating keratoplasty

Meeting Abstract

  • corresponding author J.P. Szaflik - Department of Ophthalmology, Medical University of Warsaw
  • G. Minkiewicz-Timler - Department of Ophthalmology, Medical University of Warsaw
  • J. Szaflik - Department of Ophthalmology, Medical University of Warsaw

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogFR.09.09

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2004/04dog242.shtml

Veröffentlicht: 22. September 2004

© 2004 Szaflik et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

Assessment of clinical condition and confocal microscopy of the corneal grafts of patients who undergone penetrating keratoplasty, 30 and more years after the surgery.

Methods

8 patients (9 eyes) who undergone penetrating keratoplasty in our Ophthalmology Department from 30 to 42 years ago were enrolled into the study. Visual acuity, slit lamp evaluation, pachymetry, esthesiometry and confocal microscopy of the corneal layers with the special emphasis to endothelium evaluation were performed.

Results

In 6 studied cases the transparency of the corneal grafts enables patients to obtain useful visual acuity. 2 eyes undergone retransplantation in over 20 years after the initial surgery. One patient is now qualified for the retransplantation because of the decompensation of the corneal graft. The morphological changes in the grafts' structure are being described.

Conclusions

Corneal grafts after penetrating keratoplasty may remain transparency and their function for 30 and more years after the surgery.