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مقاله
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Abstract
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Title:
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results of pediatric penetrating keratoplasty in labafinejad medical center:2001-2012
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Author(s):
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Javadi MA,Feizi S,Karimian F ,Sari mohamadli M
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Presentation Type:
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Oral
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Subject:
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Cornea and Anterior Segment
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Others:
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Presenting Author:
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Name:
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Mohamad Sari mohamadli
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Affiliation :(optional)
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E mail:
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msmohamadli@gmail.com
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Phone:
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01412230454
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Mobile:
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09131008314
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Purpose:
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To report outcomes of pediatric penetrating keratoplasty (PK) performed in a tertiary referral medical center between 2001 and 2012
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Methods:
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: In this retrospective interventional case series, medical records of all pediatric patients (age ≤ 12years) who underwent primary PK were compiled. Age at the time of surgery, indications for keratoplasty, postoperative UCVA and best spectacle-corrected visual acuity (BSCVA), postoperative refractive error , graft rejection episodes, graft clarity at the final follow-up exam, cause of graft failure and secondary intervention were reported
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Results:
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Fifty-four eyes of 45 children (27 male) were enrolled. Unilateral PK was performed in 36 cases and 9 patients underwent sequential bilateral PK. The surgical indications were aphakic bullous keratopathy (n=2; 3.7%), anterior segment dysgenesis (n=8; 14.8%), congenital hereditary endothelial dystrophy (CHED, n= 17; 31.5%), keratoconus (n=9; 16.7 %), corneal perforation (n=8; 14.8 %) , corneal scars (n=4; 7.4%) and trauma (n=6; 11.1 %). Cumulative graft survival for 6 months,1,2 and 3 years were 74%,68%,65% and 62%, respectively. This rate was 61% at month 59 (mean follow-up)
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Conclusion:
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Pediatric PK yielded the best results when the indications were KCN and old corneal scar followed by CHED. The worst prognosis was observed in eyes with a history of trauma leading to vitreoretinal surgery and anterior segment dysgenesis
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Attachment:
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