The Clinical Evaluations of the Penetrating Keratoplasty with Imported Donor Corneas.

Park, Shin Hae; Kim, Jin Hyoung; Joo, Choun Ki

Original Article

Journal of the Korean Ophthalmological Society 2005;46(1):28-34.
Published online January 31, 2005.

The Clinical Evaluations of the Penetrating Keratoplasty with Imported Donor Corneas.

Shin Hae Park, Jin Hyoung Kim, Choun Ki Joo

Department of Ophthalmology, Kangnam St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. ckjoo@catholic.ac.kr

수입공여각막을 이용한 각막이식술의 임상적 평가

박신혜,김진형,주천기

Department of Ophthalmology, Kangnam St. Mary’s Hospital College of Medicine, The Catholic University of Korea, Seoul, Korea

Correspondence: Shin Hae Park, M.D.

Abstract

PURPOSE
To evaluate the preoperative donor conditions and surgical outcomes of the penetrating keratoplasty with imported donor corneas. METHODS: We reviewed the medical records of 34 eyes of 34 patients who had undergone penetrating keratoplasty with imported donor cornea between February 2002 and June 2003 in Kangnam St. Mary's Hospital, Seoul. RESULTS: Mean donor age was 49.68 years and preoperative mean endothelial cell density of imported donor corneas was 2, 830 cells/mm2, and was above 2, 500 cells/mm2 in 30 eyes (88.24%). Average death to preservation time was 8.8 hours and death to surgery time was 5.2 days. All cases were compatible with surgical success without complications related to donor cornea at 2 months after keratoplasty. Five eyes showed irreVersible corneal opacity. 4 of which resulted from graft rejection. Postoperative best corrected visual acuity, endothelial cell loss rate, survival rate were satisfactory. CONCLUSIONS: Penetrating keratoplasty with imported donor corneas can be a safe and effective treatment for Koreans who have been waiting for penetrating keratoplasty for a long time.

Key Words: Imported donor cornea;Penetrating keratoplasty