Optical penetrating keratoplasty in the treatment of various corneal pathologies

Purpose: to analyze the results of penetrating optical keratoplasty in various corneal pathologies. Material and Methods. 86 patients (86 eyes) with corneal pathologies in need of keratoplasty were examined. Depending on the etiology of the disease, patients are divided into four groups. Group 1: patients with post-burn haze (7-20-year-old injury) at the age of 47±12 years (n=22); maximally corrected visual acuity (MCVA) before surgery 1/°° pr. I. certae. Group 2: patients with bullous keratopathy caused by the dislocation of the pre-camera intraocular lens, with artifaction at the age of 71±2 year (n=14); MCVA before surgery 0.02±0.01. Group 3: patients with haze after suffering a corneal ulcer at the age of 50-72 years (n=31); MCVA before surgery 1/°° pr. I. certae. Group 4: patients with epithelial and endothelial corneal dystrophies (hereditary nature) aged 55±9 years (n=19); MCVA before surgery 0.02±0.01. Results. In all four groups of patients, after optical penetrating keratoplasty surgery, there was a positive trend in the form of an increase in MCVA. In groupl, the MCVA after surgery increased to 0.3±0.02. In group 2, the MCVA after surgery increased to 0.3±0.07. In group 3, the MCVA after surgery increased to 0.4±0.1. In group 4, MCVA after surgery increased to 0.5±0.1. Thanks to the monitoring of the graft condition using optical coherence tomography (ОСТ), it was possible to promptly correct the medical follow-up of keratoplasty in the postoperative period. Conclusion. The results of the operations performed for various pathologies of the cornea make it possible to conclude about the effectiveness of through optical keratoplasty. The results of the operations performed forvarious corneal pathologies make it possible to conclude about the effectiveness of optical penetrating keratoplasty.