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Clinical and surgical factors and intraoperative complications in patients who underwent penetrating keratoplasty* * Paper extracted from master’s thesis “Fatores clínicos e cirúrgicos e as complicações intraoperatórias em pacientes que realizaram ceratoplastias penetrantes”, presented to Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.

Objective

to identify the main intraoperative complications of patients who underwent keratoplasty and relationship between these complications and clinical and surgical factors.

Method

cross-sectional observational study. A census of the patients submitted to keratoplasty was carried out, which totaled 258 procedures.

Results

twenty-two intraoperative complications were recorded, all in penetrating keratoplasty surgeries, of which 59.09% were performed in male patients with a mean age of 58.5 years. The main intraoperative complication was vitreous loss (36.36%). A statistically significant relationship was found between the variable “intraoperative complication” and the variables “previous surgery”, “combined keratoplasty and cataract extraction” and “corneal host button greater than 8.0 mm”.

Conclusion

identifying the main intraoperative complications of keratoplasty enables nurses to understand which factors may interfere with these procedures, point out possible predictors of complications, and seek control measures so that such complications do not occur.

Eye; Cornea; Keratoplasty, Penetrating; Intraoperative Complications; Corneal Transplantation; Cataract Extraction


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