Late Results of Corneal Transplantation in Cases of Infectious Keratitis

Activity: Talk or presentation types › Oral presentation

Description

Analyse the results of full-thickness corneal grafts , that were performed after infectious keratitis in P. Stradins Clinical University Hospital from 2016 to 2023.. Retrospective case series analysis and interpretation of case medical histories from 2016 to 2023. . During this period 193 full-thickness corneal grafts were performed. In 86 cases the main cause was infectious keratitis. The most common cause of infections were bacteria (Streptococcus Epidermidis -18 (20,9%) , Pseudomonas Aeruginosa -17 (19,7%)) and single-cell organisms (Acanthamoeba spp – 15 (17,4%) ) followed by fungal infections (Candida Albicans – 14 (16,2%) , Aspergillus spp – 6 (6,9%), others – 16 ).Mean visual acuity in decimal system before surgery was 0,01 +/- 0,02 , and after surgery 0,1 +/- 0,04 . A secondary glaucoma developed in 23 patients, that were treated surgicaly ( in 15 patients sinusotrabeculectomia ( STE) were performed and in 8 cases - a glaucoma implant were used). The mean intraocular pressure after STE was 16 +/- 3 mmHg, after the glaucoma implant surgery 10 +/- 2 mmHg . . The full-thckness corneal graft is the last resort treatment for patients suffering from corneal lesions due to infectious keratitis. The glaucoma implant is the best treatment option for secondary glaucoma after penetrating keratoplasty in cases of infectious keratitis.
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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