Abstract:
PURPOSE:We report two patients with primary graft failure (PGF) from a mutual donor. The surgery in each case was done by a different surgeon experienced in penetrating keratoplasty (PK). The cases were managed differently in the postoperative period with good visual results in both cases. We discuss the various management options available when confronted with apparent PGF in the early postoperative period. METHODS:Both patients had excessive graft edema and haze in the immediate postoperative period. Case 1 received a repeat graft after 4 weeks because there was no improvement in graft clarity despite intensive topical steroids. In case 2, repeat surgery was deferred with ultimate gradual improvement in the clarity of the graft over a period of 6 months. RESULTS:Both patients obtained clear grafts with a visual acuity of 20/30 at 15 months after surgery. CONCLUSION:Primary graft failure is a rare complication of PK. Repeat PK is the most definitive therapeutic alternative, although some grafts may clear without any additional surgery. We suggest all cases of PGF be observed for > or = 3-4 weeks for signs of graft clearing before proceeding with a repeated PK.
journal_name
Corneajournal_title
Corneaauthors
Van Rensburg PD,Raber IM,Laibson PR,Eagle RC Jrdoi
10.1097/00003226-199803000-00016subject
Has Abstractpub_date
1998-03-01 00:00:00pages
208-11issue
2eissn
0277-3740issn
1536-4798pii
00003226-199803000-00016journal_volume
17pub_type
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