Outcome of tectonic graft in corneal perforations

Authors

  • Mahtab Mengal
  • Madiha Waseem Dr ruth k m pfau civil hospital karachi

Abstract

OBJECTIVE: To evaluate the anatomical outcome of tectonic graft in corneal perforations.
METHODOLOGY: This Prospective, interventional study was conducted at the Ophthalmology
department, Helpers Teaching Eye Hospital, Quetta from February 2019 to March 2020. Fifty Two eyes of
50 subjects, aged between 5 to 80 years, either gender, with corneal perforation (<4mm), traumatic,
inflammatory, spontaneous, and infectious perforations were included. Data analysis was done on SPSS
version 23. A Chi-square test was applied. A P-value of ? 0.05 was considered significant.
RESULTS: 35 (70%) were males and 15 (30%) were females. The mean age was 41.68 ± 19.25 years
(range: 5 years to 80 years). The site of perforation was paracentral in 26 (52%), peripheral in 15 (30%),
limbal in 6 (12%), and central in 3 (6%) patients. The most common indication for tectonic graft was
infectious keratitis in 23 (46%) patients followed by trauma in 17 (34%), inflammatory causes in 6 (12%),
and spontaneous in 4 (8%) patients. Postoperative complications include peripheral anterior synechiae
in 10 (20%), phthisis bulbi in 4 (8%), endophthalmitis in 2 (4%), persistent leakage, and loose corneal
sutures in 2 (4%), and recurrence of infection in 1(2%) cases. The anatomical success of the graft was
achieved in 44 (88%). No significant change in anatomical outcome was observed concerning age group
(P=0.329), gender (P=0.849), and indications for tectonic graft (P=0.593).
CONCLUSION: Tectonic graft is useful for therapeutic management of corneal perforations as it restores
the globe's integrity.

KEYWORDS: Tectonic graft, Corneal Perforations, Anatomical integrity

JLUMHS - VOLUME 20 - ISSUE 03 - JULY-SEPTEMBER 2021

Additional Files

Published

2021-10-07

How to Cite

1.
Mengal M, Waseem M. Outcome of tectonic graft in corneal perforations. J Liaq Uni Med Health Sci [Internet]. 2021 Oct. 7 [cited 2024 May 7];20(3):183-6. Available from: http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/406

Issue

Vol. 20 No. 3 (2021): Journal of Liaquat University of Medical & Health Sciences

Section

Original Articles

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