Indications and techniques employed for keratoplasty in the Eastern province of Saudi Arabia: 6 years of experience

Keratoplasty services in Saudi Arabia have progressed steadily in the past few decades. We sought to identify the leading indications and types of keratoplasty performed in the Eastern Province of Saudi Arabia over a six-year period and to compare these indications with published data. This was a re...

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Bibliographic Details
Published in:Annals of Saudi medicine 2015-09, Vol.35 (5), p.387-393
Main Authors: Al-Arfai, Khalid M, Yassin, Sanaa A, Al-Beshri, Ali S, Al-Jindan, Mohanna Y, Al-Tamimi, Elham R
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Aged
Automation
Cataracts
Cicatrix - surgery
Cornea
Corneal Diseases - surgery
Corneal Transplantation - methods
Corneal Transplantation - statistics & numerical data
Descemet Stripping Endothelial Keratoplasty - methods
Descemet Stripping Endothelial Keratoplasty - statistics & numerical data
Edema
Eye surgery
Female
Hospitals
Humans
Keratoconus - surgery
Male
Middle Aged
Original
Retrospective Studies
Saudi Arabia
Scars
Socioeconomic factors
Surgical techniques
Young Adult
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Summary:Keratoplasty services in Saudi Arabia have progressed steadily in the past few decades. We sought to identify the leading indications and types of keratoplasty performed in the Eastern Province of Saudi Arabia over a six-year period and to compare these indications with published data. This was a retrospective descriptive analysis of the records of patients who underwent keratoplasty at four ophthalmology centers in the Eastern Province between 2008 and 2013. All keratoplasty procedures were included in the analysis. The primary surgical indication and type of surgery were identified for each case. Keratoplasties included 570 penetrating keratoplasty, 217 deep lamellar keratoplasty, 80 triple procedures, 24 descemet stripping automated endothelial keratoplasty and 12 Boston keratoprosthesis implantations. The mean age of all patients was 28.8 years (range 14-72 years), and 58.9% of the patient were males. The lead.ing indication for keratoplasty was keratoconus 53.10%, bullous keratopathy 13.80%, corneal scarring 10.7%, regrafts 9.1%, and stromal dystrophies 4.9%. In this study, the leading indications for keratoplasty were keratoconus, bullous keratopathy, corneal scarring, regrafts and stromal dystrophies. A significant increasing trend for descemet's stripping automated endothelial keratoplasty surgeries was observed in spite of the number of cases.
ISSN:0256-4947
0975-4466
DOI:10.5144/0256-4947.2015.387