Purpose: to evaluate indications and surgical techniques for corneal transplantation for patients who had undergone keratoplasty, within 4 years duration in Mansoura Ophthalmic Center.
Patients and methods: This was a retrospective analytic study conducted on patients attended to Mansoura Ophthalmic Center, Mansoura University, Egypt within the period from September 2017 to September 2021 and undergone keratoplasty in Mansoura ophthalmic center including (PKP, DALK and DMEK). Data including medical and family history taking and complete personal history. Pre-operative full ophthalmic data including visual acuity assessment, anterior segment examination, Fundus examination. Post-operative ophthalmological examination within the first follow up including uncorrected and Best-corrected distance visual acuity, slit-lamp examination, fundus examination if possible.
Results: The current study was conducted on 190 eyes from 190 cases who had undergone keratoplasty within a period from September 2017 to September 2021. Their mean age was 35.2 years, ranging from 10 to76 years. They were 78 males (41.1%) and 112 females (58.9%). Keratoconus was the most common indication for keratoplasty (60.0%) followed by Corneal opacity after mechanical trauma in 25 eyes (13.2%). PKP was the most common procedure in our study done for 115 eyes (60.50%) followed by DALK done in 70 eyes (36.8%).
Conclusion: Keratoconus was the most common indication, PKP was the most prevalent technique in patients undergone corneal transplantation, DALK was an emerging alternative surgical treatment in patients with corneal disorders in which corneal endothelium is spared.