ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
The Effect Of Preoperative Glaucoma On The Prognosis Of Penetrating Keratoplasty
Aylin KARALEZLİ*, Ayşe Burcu NURÖZLER**, Yasemin KARAGÖZ***, Koray BUDAK***,
Mustafa ONAT***, Remzi KASIM****, Sunay DUMAN*****
* Dr., SB Ankara Eğitim ve Araştırma Hastanesi Göz Kliniği, Asis.,
** Doç.Dr., SB Ankara Eğitim ve Araştırma Hastanesi Göz Kliniği, Şef Muav.,
*** Op.Dr., SB Ankara Eğitim ve Araştırma Hastanesi Göz Kliniği, Uz.,
**** Op.Dr., SB Ankara Eğitim ve Araştırma Hastanesi Göz Kliniği, Şef Muav.,
***** Op.Dr., SB Ankara Eğitim ve Araştırma Hastanesi Göz Kliniği, Şef, ANKARA
Purpose: The purpose of this retrospective study was to evaluate the effect of preoperative glaucoma history on graft survival after penetrating keratoplasty (PKP). Materials and Methods: Preoperative glaucoma history was defined by glaucoma surgery and/ or glaucoma medication prior to penetrating keratoplasty. According to these criteria, in 29 penetrating keratoplasties there was glaucoma history (Group I) and in 847 penetrating keratoplasties there wasn’t any glaucoma history (Group II). Keratoplasties were performed only if glaucoma seemed to be controlled preoperatively. Statistical analysis was performed by using the Fisher’s exact test to compare the rates of immune rejection and graft survival between groups. Results: With a glaucoma history, clear graft rate was 58.6%, in contrast to 78.3% without glaucoma history (t=5.15, p<0.05). There was no statistically significant difference between the groups with respect to immune reactions (t=0.29, p>0.05). But the rate of graft failure following immune reaction was higher in patients with glaucoma (45.5%) than in patients without glaucoma (18.1%). This difference was statistically significant (t=3.46, p<0.05). Conclusion: Penetrating keratoplasty in patients with glaucoma history have poorer prognosis than those in patients without such a history. These patients have to be monitored more efficiently pre-and postoperatively.Keywords: The Effect Of Preoperative Glaucoma On The Prognosis Of Penetrating KeratoplastyTurkiye Klinikleri J Med Sci 2003, 23:10-13
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