dc.contributor.author | Sanjuán, Pablo | |
dc.contributor.author | Julio, Gemma | |
dc.contributor.author | Bolaños, Jennifer | |
dc.contributor.author | De Toledo, Juan Álvarez | |
dc.contributor.author | García de Oteyza, Gonzalo | |
dc.contributor.author | Temprano, José | |
dc.contributor.author | Barraquer, Rafael Ignacio | |
dc.date.accessioned | 2024-01-19T16:26:53Z | |
dc.date.available | 2024-01-19T16:26:53Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Sanjuán, Pablo; Julio, Gemma; Bolaños, Jennifer [et al.]. Long-term anatomical and functional outcomes after autokeratoplasty. British Journal of Ophthalmology, 2021, 105, p.1063-1068. Disponible en: <https://bjo.bmj.com/content/105/8/1063.info>. Fecha de acceso: 19 ene. 2024. DOI: 10.1136/bjophthalmol-2021-319985 | ca |
dc.identifier.issn | 0007-1161 | ca |
dc.identifier.uri | http://hdl.handle.net/20.500.12328/3916 | |
dc.description.abstract | Background: To evaluate the anatomical and functional outcomes of autologous contralateral penetrating keratoplasty (autokeratoplasty). Methods: Kaplan-Meier survival analyses were retrospectively performed. Anatomical failure was defined as regraft or graft permanently cloudy at any time during follow-up. Functional failure was defined as the final best-corrected visual acuity (BCVA) <20/400. Results: Thirty-one eyes of 31 patients (19 men), with a mean age of 52±18 years (range 15–81 years) were studied during a mean follow-up of 11.3 years (from 13 months to 48 years). At 12 months postoperatively, all the recipient eyes showed a transparent cornea, but 23% showed functional failure. At the final followup, 16 recipient eyes (52%) showed anatomical and functional success. Twenty-three eyes (74%) showed a clear cornea and 68% reached a better BCVA when compared with preoperative measurements. Nevertheless, 13/31 eyes (42%) displayed functional failure. The accumulative probabilities for anatomical success were 100%, 72% and 48% and 77%, 59% and 29% for functional success at 1, 10 and 40 years, respectively. The most common risk factor for failure was progression of previous glaucoma in 50% of the anatomical failures and in 77% of the functional failures. Conclusions: Autokeratoplasty could be a successful long-term option in patients having one eye with a clear cornea but with irreversible visual dysfunction and the contralateral eye having favourable visual potential limited only by a completely opacified cornea. Progression of previous glaucoma was the most important risk factor for long-term cornea decompensation and visual functional failure in the sample. | ca |
dc.format.extent | 5 | ca |
dc.language.iso | eng | ca |
dc.publisher | BMJ Publishing Group | ca |
dc.relation.ispartof | British Journal of Ophthalmology | ca |
dc.relation.ispartofseries | 105 | |
dc.rights | © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. | |
dc.subject.other | Oftalmologia | ca |
dc.subject.other | Oftalmología | ca |
dc.subject.other | Ophtalmology | ca |
dc.title | Long-term anatomical and functional outcomes after autokeratoplasty | ca |
dc.type | info:eu-repo/semantics/article | ca |
dc.description.version | info:eu-repo/semantics/publishedVersion | ca |
dc.rights.accessLevel | info:eu-repo/semantics/openAccess | |
dc.embargo.terms | cap | ca |
dc.subject.udc | 617 | ca |
dc.identifier.doi | https://dx.doi.org/10.1136/bjophthalmol-2020-316289 | ca |