Indian Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 1997  |  Volume : 45  |  Issue : 3  |  Page : 163--168

Indications for penetrating keratoplasty in India


L Dandona, K Ragu, M Janarthanan, TJ Naduvilath, R Shenoy, GN Rao 
 Public Health Opthalmology Service, L.V. Prasad Eye Institute, Hyderabad, India

Correspondence Address:
L Dandona
Public Health Opthalmology Service, L.V. Prasad Eye Institute, Hyderabad
India

Indications for penetrating keratoplasty (PK) in the developing world from a large series are not well documented. This study was done to evaluate the indications for PK in a major eye care institution in India. The records for a consecutive series of 1,964 PKs were analysed and multiple logistic regression was used to study the effect of age, socioeconomic status and sex on the indications for PK. The indications for PK were corneal scarring in 551 (28.1%) including adherent leukoma in 147 (7.5%), regrafts in 336 (17.1%), active infectious keratitis in 239 (12.2%), aphakic bullous keratopathy in 231 (11.8%), pseudophakic bullous keratopathy in 209 (10.6%), corneal dystrophies in 165 (8.4%) including Fuchs�SQ� dystrophy in 23 (1.2%), keratoconus in 118 (6%), and miscellaneous in 115 (5.9%). The odds that the patient belonged to lower socioeconomic status were significantly higher if the PK was done for active infectious keratitis (odds ratio 2.73, p<0.0001), corneal scarring (odds ratio 1.72, p=0.0009) or regraft (odds ratio 1.44, p=0.047). Corneal scarring, including adherent leukoma, and active infectious keratitis are relatively more common indications whereas keratoconus, pseudophakic bullous keratopathy and Fuchs�SQ� dystrophy are less common indications for PK in India than reported from the developed world. Indications for PK which carry a poorer prognosis for graft survival are relatively more common in India than in the developed world.


How to cite this article:
Dandona L, Ragu K, Janarthanan M, Naduvilath T J, Shenoy R, Rao G N. Indications for penetrating keratoplasty in India.Indian J Ophthalmol 1997;45:163-168


How to cite this URL:
Dandona L, Ragu K, Janarthanan M, Naduvilath T J, Shenoy R, Rao G N. Indications for penetrating keratoplasty in India. Indian J Ophthalmol [serial online] 1997 [cited 2024 Mar 28 ];45:163-168
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