Long-term anatomical and functional outcomes after autokeratoplasty
Autor/a
Sanjuán, Pablo
Julio, Gemma
Bolaños, Jennifer
De Toledo, Juan Álvarez
García de Oteyza, Gonzalo
Temprano, José
Barraquer, Rafael Ignacio
Fecha de publicación
2021ISSN
0007-1161
Resumen
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.
Tipo de documento
Artículo
Versión del documento
Versión publicada
Lengua
English
Materias (CDU)
617 - Cirugía. Ortopedia. Oftalmología
Palabras clave
Oftalmologia
Oftalmología
Ophtalmology
Páginas
5
Publicado por
BMJ Publishing Group
Colección
105
Publicado en
British Journal of Ophthalmology
Citación
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
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Derechos
© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.