Indications and techniques employed for keratoplasty in the Eastern province of Saudi Arabia: 6 years of experience

Abstract

BACKGROUND AND OBJECTIVESKeratoplasty services in Saudi Arabia have progressed steadily in the past few decades. We sought to identify the leading indications and types of keratoplasty performed in the Eastern Province of Saudi Arabia over a six-year period and to compare these indications with published data.DESIGN AND SETTINGThis was a retrospective descriptive analysis of the records of patients who underwent keratoplasty at four ophthalmology centers in the Eastern Province between 2008 and 2013.PATIENTS AND METHODSAll keratoplasty procedures were included in the analysis. The primary surgical indication and type of surgery were identified for each case.RESULTSKeratoplasties included 570 penetrating keratoplasty, 217 deep lamellar keratoplasty, 80 triple procedures, 24 descemet stripping automated endothelial keratoplasty and 12 Boston keratoprosthesisimplantations. The mean age of all patients was 28.8 years (range 14–72 years), and 58.9% of the patient were males. The leading indication for keratoplasty was keratoconus 53.10%, bullous keratopathy 13.80%, corneal scarring 10.7%, regrafts 9.1%, and stromal dystrophies 4.9%.CONCLUSIONSIn this study, the leading indications for keratoplasty were keratoconus, bullous keratopathy, corneal scarring, regrafts and stromal dystrophies. A significant increasing trend for descemet’s stripping automated endothelial keratoplasty surgeries was observed in spite of the number of cases.

A study to assess the outcome of optical penetrating keratoplasty in a tertiary health care centre in north India

“…~ 82 ~ Keratoplasty can be done for various purposes and is classified as optical, therapeutic, tectonic, and cosmetic. Common indications of penetrating keratoplasty in different regions of the world are Pseudophakic Bullous Keratopathy, Fuch's dystrophy, Keratoconus, Corneal scars, Ulcerative keratitis, failed graft, and in children are Congenital corneal opacities [6][7] . Complications of penetrating keratoplasty are Wound leak, Persistent epithelial defect, Postoperative inflammation, Suture related infiltrates, Suture induced vascularization, Raised intraocular pressure, Pupillary block, Anterior synechiae formation, Choroidal detachment /hemorrhage, Primary graft failure, Post PK astigmatism, Post PK glaucoma-Graft infection, Graft rejection, graft failure [8] .…”

Indicações Clínicas para o Transplante Corneano no Contexto Global: Revisão Integrativa

“…Ceratocone 24 (38,7) Distrofias corneanas [31][32][33][34][35][36][37] 07 (11,3) Ceratopatia bolhosa pseudofácica/afácica 15,[38][39][40][41][42]49 07 (11,3) Cicatriz corneana [43][44][45][46][47] 05 (8,1) Ceratite infecciosa [52][53][54][55] 04 (6,5) Leucoma [56][57][58][59] 04 (6,5) Ceratopatia bolhosa 48,50,51 03 (4,8) Lesões ulcerativas [60][61][62] 03 (4,8) Retransplante 63,64 02 (3,2) Trauma 65,66 02 (3,2) Ceratite corneana pelo vírus Herpes Simplex 9 01 (1,6) Indicações por países (IDH**) Países com IDH muito alto 5 Ceratocone 9,10, [13][14][15]17,23,25,26,[28][29]…”

“…O ceratocone liderou as indicações para o transplante corneano tanto como causas gerais quanto em países com IDH alto (11,12,(19)(20)(21)(22)24,26) e muito alto 9,10,[13][14][15]17,23,25,26,[28][29][30] . Uma revisão sistemática realizada na Alemanha, que analisou a mudança nas indicações da ceratoplastia penetrante em 34 anos de relatórios globais, apontou que o ceratocone predominou entre as principais causas de ceratoplastia no mundo 2 .…”

Changing Indications for Penetrating Keratoplasty in Bahrain in a Tertiary Referral Centre

“…Since corneal blindness is one of the most important causes of blindness in the region, 16 , 19 understanding the indications for keratoplasty, would give insight to the underlying disease processes. Therefore, this would help placing preventive measures for such diseases.…”