EEBA Program (PDF/3MB) - EEBA - Annual Meeting

DEEP ANTERIOR LAMELLAR KERATOPLASTY VS. PENETRATING KERATOPLASTY FOR HERPESSIMPLEX KERATITIS SCARD. Saric, V. Lacmanovic, I. Petric-Vickovic, Z. MandicEye Clinic, Clinical Hospital “Sisters of Charity“, CroatiaPurpose: To compare outcomes of deep lamellar keratoplasty with penetrating keratoplasty fortreating corneal scars caused by herpes simplex keratitisMethods: Included were patients with corneal scarring caused by herpes simplex keratitis whounderwent primary deep lamellar keratoplasty or penetrating keratoplasty and completed at least12 months postoperative follow-up. There was no significant difference of corneal scarring andvascularization between the 2 groups before surgery. Excluded were patients with a past historyof corneal perforation, nonprimary graft, non-herpes simplex-related corneal scars, and failure tocomplete a minimum of 12 months of postoperative follow-up. 8 eyes of 8 patients in the deeplamellar keratoplasty group and 18 eyes of 18 patients in the penetrating keratoplasty group metthe inclusion criteria. Two groups were compared due to postoperative managements, recurrence ofherpes simplex keratitis, graft rejection and graft survival rateResults: Due to small number of patients in the study it was impossible to use serious statisticalanalysis. Penetrating keratoplasty group had fare more frequent episodes of herpes simplex recurrentkeratitis, more graft rejection episodes and also graft failures. The clear graft survival rate in the deeplamellar keratoplasty group was higher than that in the penetrating keratoplasty group.Conclusions: Deep lamellar keratoplasty seems to be preferable to penetrating keratoplasty fortreating herpes simplex keratitis-induced corneal scarring with relatively healthy endothelium andwith no history of perforation.XXV ANNUAL MEETING OF THE EUROPEAN EYE BANK ASSOCIATION Zagreb, Croatia 18/19 January 2013 85