Abstract
Four hundred and sixteen penetrating keratoplasties performed at St John Ophthalmic Hospital, Jerusalem, between January 1988 and July 1992 were reviewed retrospectively. The leading indications were keratoconus, microbial keratitis, trachomatous corneal scarring and herpes simplex keratitis. After a mean follow-up of 12.4 months (>1–18 months) 79.8% of the grafts remained clear. The results in terms of graft clarity and visual improvement varied among the different diagnostic groups. No relationship was found between donor age, cadaver time or storage time and graft survival. This series demonstrates the viability of penetrating keratoplasty in this area of low economic development but highlights the need for strict patient selection to ensure optimal use of scarce donor material.
Similar content being viewed by others
Article PDF
References
Thomson IM, Chumbley LC . Eye disease in the West Bank and Gaza Strip. Br J Ophthalmol 1984;68:598–602.
Tabbara KF, Ross-Degnan D . Blindness in Saudi Arabia. JAMA 1986;255:3378–84.
The National Health Plan Commission: The National Health Plan for the Palestinian People Interim Report. Jerusalem, 1992;17–35.
Barghouti M, Daibes I . The West Bank Rural Primary Health Care Survey Interim Report. The Health Develop ment Information Project, 1992.
Morris RJ, Bates AK . Changing indications for keratoplasty. Eye 1989;3:455–9.
Mamalis N, Anderson CW, Kreasc KR, Lundergan MK, Olson RJ . Changing trends in the indications for penetrating keratoplasty. Arch Ophthalmol 1992;110:1409–11.
Claoué C, Falcon M, Shilling J . Penetrating keratoplasty in South East London 1981–1986: epidemiological aspects and demands on medical resources. J R Soc Med 1990;83:245–8.
Williams KA, Sawyer MA, White MA, Muehlberg SM, Mahmood M, Coster DJ . The Australian Corneal Graft Register, 1989 report. Adelaide: Flinders Press, 1990.
Saeed N, Khan MD . A 4-year review of keratoplasty in Pakistan. Pak J Ophthalmol 1989;5:99–102.
Al-Hazzaa SA, Tabbara KF . Bacterial keratitis after penetrating keratoplasty. Ophthalmology 1988;95:1504–8.
Brady SE, Rapuano CJ, Arentsen JJ, Cohen EJ, Laibson PR . Clinical indications for and procedures associated with penetrating keratoplasty, 1983–1988. Am J Ophthalmol 1986;108:118–22.
Damji KF, Rootman J, White VA, Dubord PJ, Richards JSF . Changing indications for penetrating keratoplasty in Vancouver 1978–1987. Can J Ophthalmol 1990;25:243–8.
Heidemann DG, Sugar A, Meyer RF, Musch DC . Oversized donor grafts in penetrating keratoplasty: a randomised trial. Arch Ophthalmol 1985;103:1807–11.
Cameron JA, Al-Rajhi AA, Badr AA . Corneal ectasia in vernal keratoconjunctivitis. Ophthalmology 1989;96:1616–23.
Cobo LM, Coster DJ, Rice NSC, Jones BR . Prognosis and management of corneal transplantation for herpetic keratitis. Arch Ophthalmol 1980;98:1755–9.
Cohen EJ, Laibson PR, Arentsen JJ . Corneal transplantation for herpes simplex keratitis. Am J Ophthalmol 1983;95:645–50.
Ficker LA, Kirkness CM, Rice NSC, Steele ADMcG . The changing management and improved prognosis for corneal grafting in herpes simplex keratitis. Ophthalmology 1989;96:1587–96.
Hill JC . Use of penetrating keratoplasty in acute bacterial keratitis. Br J Ophthalmol 1986;70:502–6.
Kirkness CM, Ficker LA, Steele ADMcG, Rice NSC . The role of penetrating keratoplasty in the management of microbial keratitis. Eye 1991;5:425–31.
Coster DJ . Some factors which affect the visual outcome of corneal transplantation. Eye 1991;5:256–78.
Al Faran MF . Visual outcome and complications after cataract extraction in Saudi Arabia. Br J Ophthalmol 1990;74:141–3.
Lundh BL, Kallmark B . Endothelial cell density after penetrating keratoplasty using long-time banked donor material after long distance transportation (Denmark-Sweden). Acta Ophthalmol 1986;64:492–8.
Bourne WM . Endothelial cell survival in transplanted human corneas preserved at 4°C in 2.5% chrondroitin sulfate for one to 13 days. Am J Ophthalmol 1986;102:382–6.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
De Cock, R. Penetrating keratoplasty in the West Bank and Gaza. Eye 8, 29–34 (1994). https://doi.org/10.1038/eye.1994.5
Issue Date:
DOI: https://doi.org/10.1038/eye.1994.5