title: PENETRATING KERATOPLASTY IN HIGH RISK CASES.
abstract: Penetrating Keratoplasty in high risk cases like paediatric patients, complicated cases of pseudophakic bullous keratopathy, or in patients with highly vascularized corneal opacities have been a challenge for opthalmologists because of the poor outcome. 101 patients with such high risk indications underwent penetrating keratoplasty. Some of them also underwent concurrent procedures like PC IOL implantation or vitrectomy. The patients' follow up period ranged from six months to four years. The results were evaluated. Good quality donor material, good intraoperative tissue handling, aggressive and meticulous postoperative management contributed to gratifying results. However chemical injuries and patients with dry eyes continued to have a bad prognosis and keratoplasty in these cases proved to be unrewarding.
authors.affiliation: Senior Advisor (Ophthalmology), Command Hospital (Western Command), Chandimandir.
authors.forename: D P
authors.initials: DP
authors.lastname: Vats
authors.affiliation: Reader in Ophthalmology, Armed Forces Medical College, Pune - 411 040.
authors.forename: J
authors.initials: J
authors.lastname: Parihar
authors.affiliation: Reader in Ophthalmology, Armed Forces Medical College, Pune - 411 040.
authors.forename: F
authors.initials: F
authors.lastname: Rodrigues
authors.affiliation: Classified Specialist (Ophthalmology), 158 Base Hospital, C/o 99 APO.
authors.forename: N
authors.initials: N
authors.lastname: Ramchandran
authors.affiliation: Consultant (Ophthalmology), Army Hospital; (R&R)), Delhi Cantt.
authors.forename: R G
authors.initials: RG
authors.lastname: Dash
authors.affiliation: Post Graduate Student in Opthalmology, Armed Forces Medical College, Pune - 411 040.
authors.forename: H S
authors.initials: HS
authors.lastname: Trehan
authors.affiliation: Post Graduate Student in Opthalmology, Armed Forces Medical College, Pune - 411 040.
authors.forename: M A
authors.initials: MA
authors.lastname: Khan
keywords: Concurrent procedures; Graft clarity; Penetrating keratoplasty, Regrafting; Triple procedure; Vascularized cornea; Visual outcome