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TitrePutting one’s own cornea first: clinical outcome of corneal autografts
Abstract Nr.143
ButTo present a small case series of rotating autografts and of cases in which corneas were switched between two eyes.
MéthodesA retrospective review of charts of 8 patients with rotating autografts. Different pre-, per- and postoperative variables will be discussed.
We will also discuss the clinical history of 6 patients in which the clear cornea of a blind non-functional eye was transferred to the contra lateral eye and replaced by a corneal allograft.
RésultatsFor the rotating autografts median follow-up was 23 months. All grafts remained clear and visual acuity increased in 7 out of 8 patients. Six out of 8 patients had a visual acuity greater than 5/10. Median corneal astigmatism went from 3.89D pre-operatively to 4.00D postoperatively with sutures in and 3.00D postoperatively with sutures out.
The patients in which the corneas were switched had a poor visual outcome in most cases. Only two patients regained useful visual acuity postoperatively. However all these patients had already compromised anterior as well as posterior segments, which limited any further visual improvement.
ConclusionIn the cases where corneas were switched one can wonder whether the end justifies the means, in view of the poor visual outcome. However the question remains whether a corneal allograft would have done better.
For the rotating autografts we believe that this should be considered as the procedure of choice in selected cases. Especially since corneal autografts have a lower decline in endothelial cell density than allografts and since topography guided laser procedures allow for the correction of irregular astigmatism.
Auteur 1
NomCLAERHOUT
InitialesI
InstitutDept Ophthalmology
VilleGhent University Hospital
Auteur 2
NomKestelyn
InitialesPh
InstitutDept Ophthalmology
VilleGhent University Hospital
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