SciELO - Scientific Electronic Library Online

vol.70 issue4Anterior ocular segment study with the Scheimpflug rotational camera in refractive surgery candidatesPreoperative evaluation and cataract surgery author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Arquivos Brasileiros de Oftalmologia

Print version ISSN 0004-2749On-line version ISSN 1678-2925


OLIVEIRA, Flávia Chaves de et al. Long-term follow-up of a case series of therapeutic corneal transplant. Arq. Bras. Oftalmol. [online]. 2007, vol.70, n.4, pp.625-631. ISSN 0004-2749.

PURPOSE: To describe the results of therapeutic penetrating keratoplasty in patients with impending perforation or perforated infectious keratitis. METHODS: Fifty-nine charts of patients with infectious keratitis who were submitted to therapeutic penetrating keratoplasty were retrospectively reviewed at the Department of Ophthalmology of the Santa Casa of São Paulo from January 2000 to December 2004. Pre- and post operative visual acuity, biomicroscopy, echography, culture and bacterioscopy were analyzed. Patients with a minimum 9-month follow-up were included and were divided into 5 groups: herpetic, bacterial, fungal, bacterial-fungal keratitis and keratitis with negative culture bacterioscopy. RESULTS: Erradication of infection and restoration of ocular integrity were obtained in 95.2% of all bacterial keratitis; 100% fungal; 25.0% bacterial-fungal; 95.2% negative culture and 100% of all herpetic keratitis. Complications included: 2 rejections, 6 recurrences, 13 glaucomas and 1 perforation. CONCLUSION: In infectious keratitis with perforation or impending perforation that did not respond to conservative clinical therapy, therapeutic penetrating keratoplasty must be considered an alternative to erradicate infection and restore the ocular integrity.

Keywords : Corneal transplantation; Keratoplasty; penetrating; Keratitis [surgery]; Keratitis [microbiology]; Visual acuity; Eye infections [surgery].

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License