Visual Prognosis of Keratoplasty
AbstractVisual Prognosis of Keratoplasty N.A. Jacobs, A. Chandna, and K.B. Mills We retrospectively reviewed the findings in 137 keratoplasties performed on 119 patients at ManChester Royal Eye Hospital. The objective was to determine the importance of the aetiology of corneal disease on the visual outcome. In the herpes simplex group, only 18 grafts out of 37 remained clear. In the group with bullous keratopathy, 29 grafts out of 39 remained clear. However, only 19 were visually improved, partly due to a high incidence of coexisting pathology. The groups with interstitial keratitis, corneal dystrophies, and keratoconus all showed a good visual improvement. @ 1986 by Grune & Stratton Limited. HIS ARTICLE IS INTENDED to compare and contrast the problems encountered in achieving a satisfactory visual outcome in several aetiologic groups following keratoplasty. Data published in recent years has been concerned largely with single aetiologic groups, or, where several aetiologies are included, it has been presented from a specialised standpoint.â Such information provides a valuable guide to the management of particular problems, but an overview of the spectrum of corneal disease incidence and its response to surgery is lost. Reliable figures on the incidence of disease requiring keratoplasty are scanty.