Bakhat Samar Khan, Nighat Aziz, Ibrar Hussain, Mumtaz Alam.
Corneal blindness, keratoplastyand visualout come.
J Med Sci Jan ;19(1):12-4.

Objectives: To treat corneal blindness with corneal transplants and to find out its visual outcomes and complications. Material and Methods: This is a prospective study with one year follow up. The study was conducted in Eye B unit of Khyber Teaching Hospital, Peshawar from 2004 to 2008. Data extracted includes age, gender, type of corneal pathology, initial and final visual acuities and complications. Results: Eighty eyes of 80 patients suffering from corneal blindness were operated with corneal transplant. Main indication were dense corneal opacity in 25 (31.20%) eyes, bullous keratopathy in 16 (20%) eyes, corneal thinning and perforation in 13 (16.25%) eyes, corneal degeneration in 10 (12.5%) eyes, keratoconus in 9 (11.25 %) previous graft failure in 05 (6.25%) eyes and corneal dystrophy in 02 (2.5%) eyes. Pre operative visual acuity was ranging from perception of light to counting fingers one meter. Final visual acuity was improved in 76% cases. Main complications were high refractive error in 11 (13.7%) eyes, glaucoma in 30 (37.5%) eyes, graft failure in 13 (16.25%) eyes and recurrence of primary disease in 2 (2.5%) eyes. Most of complications were resolved at the end of follow up. Conclusion: Excellent success with corneal transplant is possible to treat corneal blindness, if donor corneas are available.

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