Penetrating Keratoplasty in Regional Health 8th

Authors

  • Patsathorn Naranunn Department of ophthalmology, Udonthani Hospital
  • Wanpiya Naranunn Department of ophthalmology, Udonthani Hospital

Abstract

A retrospective descriptive study was conducted to evaluate the rate, indication, results, and complications of penetrating keratoplasty (PKP) in regional health 8th. A medical record review was    performed on patients who underwent penetrating keratoplasty at Udonthani Hospital, the only hospital in regional health 8th that can perform PKP, between January 1, 2017 and December 31, 2020.

Results: The optical penetrating keratoplasty (PKP) rate was 5.5%, while the therapeutic PKP rate was 3.4%. 90 eyes from 84 patients found that optical PKP was the leading indication at 58.9%, other were performed due to therapeutic reasons at 40.0% and tectonic reason at 1.1%.  Corneal ulcer was the most frequent diagnosis (41.1%) caused by fungus 20.0%. Graft success rate in optical PKP group was 92.5% at 3 months. Preoperative and postoperative visual acuity were significantly improved (from 2.04 LogMAR to 1.14 LogMAR, p<0.001). Visual acuity was also significantly improved by more than 2 lines in Snellen’s chart (p<0.001). Secondary glaucoma was the most common complication (37.8%).

Conclusion: Optical PKP was still the leading indication, but therapeutic PKP in regional health 8th was higher than other regional studies in Thailand, and the results of surgery were similar to other     regional studies. A long term outcome is required in the future.

 

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Published

2023-08-31

How to Cite

1.
Naranunn P, Naranunn W. Penetrating Keratoplasty in Regional Health 8th. udhhosmj [internet]. 2023 Aug. 31 [cited 2026 Jan. 26];31(2):153-60. available from: https://he02.tci-thaijo.org/index.php/udhhosmj/article/view/265088

Issue

Vol. 31 No. 2 (2023): พฤษภาคม - สิงหาคม 2566

Section

Research Article

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