Journal of the Korean Ophthalmological Society 2002;43(6):941-947.
Published online June 1, 2002.
Prognosis and Survival Rate of Penetrating Keratoplasty in Corneal Dystrophy and Corneal Degeneration.
Ho Sang Jang, Sang Wroul Song, Byoung Yeop Kim
1COEX St. Mary's Eye Clinic, Seoul, Korea.
2Department of Ophthalmology, Kon-Yang Hospital, Seoul, Korea. YEOPK@chollian.net
각막이영양증과 각막변성증에서 전층각막이식술의 예후 및 생존율
장호상 ( Ho Sang Jang ) , 송상률 ( Sang Wroul Song ) , 김병엽 ( Byoung Yeop Kim )
Abstract
PURPOSE
To investigate the prognosis, survival rate and curve on the eyes for corneal dystrophy and corneal degeneration, we performed statistical analysis. METHODS: Forty-one recipients (62 eyes) have received penetrating keratoplasty for corneal dystrophy and corneal degeneration for about 14 years from April 1984 to October 1997. We analyzed survival rate and curve on sex, age and type of corneal dystrophy and corneal degeneration. RESULTS: Mean age was 35 years and sex distribution of recipient was predominant in female patients (M: 16 recipients, 19 eyes, F: 25 recipients, 43 eyes). In the causative disease of first keratoplasty, corneal dystrophy and corneal degeneration were 46 eyes and 16 eyes. Granular type was the most common type of keratoplasty. In 62 grafts, graft rejection was developed in 19 eyes (30.6%). Graft rejection periods ranged from 53 days to 10 years and 3 months. Mean graft rejection time was 2 years and 8 months. In this study, 5 years survival rate developed in 75% of corneal dystrophy and developed in 31% of corneal degeneration. The statistical analysis showed significant relationship between survival rate and disease type (p=0.0032, p<0.05). But age and sex were not maintained with association with survival rate (p>0.05). CONCLUSIONS: This result suggests that corneal dystrophy was higher than corneal degeneration in survival rate with statistically significant difference. But sex and age did not have influence on survival rate.
Key Words: Corneal degeneration;Corneal dystrophy;Penetrating keratoplasty;Survival rate and curve


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