DR. ABHISHEK DAVE

DR. PRACHI ABHISHEK DAVE

Abstract

PURPOSE:To evaluate outcomes of combined PKP and VR surgery in patients having endophthalmitis with poor corneal clarity. METHODS:PKP with PPV was performed in 43 eyes. This is a retrospective analysis of their preoperative, intraoperative and microbiological characteristics and anatomical and functional outcomes. RESULTS:Corneal opacification was due to ulcer in 30(69.7%), graft infection in 8(18.6%), bullous keratopathy in 4 and corneal scar in 1 eye. Postoperative visual acuity improved in 20(46.5%), not changed in 14(32.5%) and deteriorated in 9 eyes (20.9%). Poor anatomic success was seen in 15(34.88%) eyes (9-phthisis bulbi, 6-eviscerated). Graft remained clear in 24 eyes (1year). Microbiology revealed bacteria in 26, fungus in 14 and no growth in 3 eyes. Six out of 11 patients having poor vision in fellow eye too, achieved functional success. CONCLUSION:PKP with VR surgery is a complex but globe salvaging procedure for poor prognosis eyes which otherwise would need evisceration.