Results of the corneal transplant in patients with bullous keratopathy Resultados del trasplante de córnea en pacientes con queratopatía bulosa uri icon


  • Objective: To evaluate the results of corneal transplantation for pseudophakic bullous keratopathy; to analyze the possible variables that could affect the final result. Material and method: We performed a case series study. We included 19 patients (20 eyes) who were treated with penetrating keratoplasty for bullous keratopathy. Surgery was performed with same technique and same surgeon (JEVG) in a 4-year period (January 2000 . June 2004). Results: The average age at the diagnosis of bullous keratopathy was 62 years; the mean follow-up period was 44 months; the average interval between cataract extraction and the diagnosis of bullous keratopathy was 24 months; the average interval between the diagnosis of bullous keratopathy and penetrating keratoplasty was 20 months. The corneal graft remained clear in 70% of cases. The post surgical visual acuities were 20/40 or better in 10% of cases, from 20/50 to 20/100 in 55%, and 20/200 or worse in 25%. Forty percent of cases had cystoid macular edema, with a visual acuity of 20/50 or worse. Conclusions: Although penetrating keratoplasty is nowadays the only solution for pseudophakic bullous keratopathy its results are not the expected. Mainly, for the diversity of factors that might influence the final result.

Publication date

  • September 1, 2005