RAWALPINDI -- Former president Ophthalmological Society of Pakistan Dr Mazhar Quyyum said that there were more than 0.3 million blind people in Pakistan who could be cured by corneal grafting.
RAWALPINDI -- Former President Ophthalmologist Society of Pakistan, Dr Mazhar Quyyum Wednesday said that there were more than 0.3 million blind people in the country who could be cured by corneal grafting.
In this non-randomised, consecutive and interventional prospective case studies, the first 100 consecutive patients (Age [greater than or equal to] 18 years with BCVA [less than or equal to] 20/400) with endothelial dysfunction who were enlisted for corneal grafting in our central register were included for DSEK and DMEK.
Frequent indications to endothelial corneal grafting include Fuchs' endothelial dystrophy, bullous keratopathy following phacoemulsification, and endothelial disfunction after corneal transplant.
The added complexity of the additional procedures possibly resulted in longer time of surgery and longer periods of postoperative inflammation compared to lamellar corneal grafting alone.
Corneal grafting is a costly procedure, not readily available for all the patient and it is not a good treatment option for those cases where there is guarded visual prognosis.4-6 In such cases various treatment modalities have been tried for symptomatic relief such as PTK (phototherapeutic keratectomy), conjunctival rotation or free flaps, puncturing anterior corneal stroma, and transplantation of amniotic membrane.7
Some of the patients had input from both corneal and oculoplastics teams, as the key to successful corneal grafting is a healthy, nurturing anterior segment which is supported by the oculoplastics team.