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The effect of age on penetrating keratoplasty indications
Author(s) -
Karahan Mine
Publication year - 2019
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2019.5392
Subject(s) - medicine , keratoconus , bullous keratopathy , corneal perforation , ophthalmology , keratitis , perforation , corneal dystrophy , cornea , age groups , surgery , materials science , demography , sociology , metallurgy , punching
Purpose The aim of this study was to evaluate the indications of penetrating keratoplasty (PKP) according to age groups. Methods Between September 2017 and April 2019, 120 patients who underwent PKP in our clinic were divided into five groups according to their age ranges. 1st group; 11‐25, 2nd group; 26‐40, 3rd group; 41‐55, 4th group; 56‐70 and 5th group; 71‐90 years old. The frequency of PKP indications were evaluated according to the age groups. Results The records of 120 patients with age range of 11‐89 (60.4 ± 21.9), 61 of whom were female and 59 were male were retrospectively reviewed. 67 of the eyes made PKP were right eyes and 53 of them were left eyes. There was no difference between the groups in terms of laterality. PKP indications were as follows: 14 (12%) keratoconus, 60 (50%) keratitis / post‐traumatic corneal scar, 11 (9%) corneal dystrophy, 7 (6%) corneal ulceration / perforation, 28 (23%) aphakic / pseudophakic bullous keratopathy. According to age groups, the most common PKP indications were as follows, respectively: keratoconus in the 1st group (n=8, 53%), keratitis / post‐traumatic corneal scar in the 2nd group (n=6, 50%), keratitis / post‐traumatic corneal scar in the 3rd group (n=9, 56%), aphakic / pseudophakic bullous keratopathy in the 4th group (n=7, 32%) and keratitis / post‐traumatic corneal scar in the 5th group (n= 35, 63%). Conclusions In our study, the most common indication for PKP was keratitis / post‐traumatic corneal scar. When evaluated according to age groups the difference between groups was not significant. On the other hand, it was observed that keratoconus was the most common PKP indication in the 1st group and the difference was statistically significant when compared with other age groups. Therapeutic reasons for PKP after 25 years of age are prominent due to regional and climatic differences.