Transforming indications for penetrating keratoplasty

Tom Smith

Nada Al-Yousuf,1 Ebtisam Al Alawi,2 Abdulhameed Mahmood,3 Amani Alzayani,4 Hajer Al Sawad,4 Hasan Alsetri,5 Jalal Al-Mousawi,6 Khatoon Ali,4 Maryam Al Khayat,4 Reem Naser4 1Section of Ophthalmology, King Abdulla Professional medical Town, Manama, Bahrain 2The Eye Centre, Manama, Bahrain 3Department of Ophthalmology, Prince Sultan Military services Professional medical Town, Riyadh, Saudi […]

Nada Al-Yousuf,1 Ebtisam Al Alawi,2 Abdulhameed Mahmood,3 Amani Alzayani,4 Hajer Al Sawad,4 Hasan Alsetri,5 Jalal Al-Mousawi,6 Khatoon Ali,4 Maryam Al Khayat,4 Reem Naser4

1Section of Ophthalmology, King Abdulla Professional medical Town, Manama, Bahrain 2The Eye Centre, Manama, Bahrain 3Department of Ophthalmology, Prince Sultan Military services Professional medical Town, Riyadh, Saudi Arabia 4Division of Ophthalmology, Salmaniya Professional medical Complicated, Manama, Bahrain 5Section of Chemistry and Biochemistry, University of California, Los Angeles, CA, Usa 6Al-Mousawi Specialist Heart, Manama, Bahrain

Correspondence: Nada Al-Yousuf
Section of Ophthalmology, King Abdulla Medical Metropolis, P.O. Box 26671, Adliya, Bahrain
Tel +973 77310071
Fax +973 77310001
Electronic mail [email protected]

Goal: To study the changing indications for Penetrating keratoplasty in Bahrain and to assess them with published info.
Individuals and Procedures: A Retrospective critique of obtainable data of sufferers who underwent penetrating keratoplasty at a tertiary centre in Bahrain (1996− 2015). The trend of every sign was analyzed. The study was subdivided into three intervals for correlation reasons. Pearson Coefficient r and the p values were used for interpretation of facts. The success had been in contrast with related studies.
Results: A full of 298 individuals underwent keratoplasty in the study time period, which is from 1996 until eventually 2015 (lacking facts 2009– 2011). Keratoconus was found to be the foremost indication, accounting for 33% of the complete instances, adopted by trachoma 27%, followed by aphakic and pseudophakic bullous keratopathies 13%. Trachoma showed a statistically substantial decreasing development (p < 0.001), Keratoconus had an increasing trend (p< 0.001). Bullous keratopathy showed an increasing trend (p = 0.001) with an abrupt rise after 2012.
Conclusion: Corneal scarring due to old trachoma was the leading indication for keratoplasty 20 years ago in Bahrain. However, due to improvement of health awareness, hygiene, and the socioeconomic status, this has regressed with keratoconus becoming the leading indication from 2002 onwards. A surge of bullous keratopathy was noted after 2012, placing it as the second commonest indication. This may be due to the introduction of phacoemulsification technique for cataract surgery, and perhaps because the nature of the institute being a teaching hospital. Keratoconus is the leading indication and showed an increasing trend. It is recommended to perform a keratoconus screening program for early detection and prevention.

Keywords: keratoconus, bullous keratopathies, corneal graft, indications, cornea transplant, trachoma


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