[Clinical results in 100 corneal transplantations].

The authors refer clinical results of 100 consensual penetrating keratoplasties performed at the Department of Ophthalmology, University Hospital, Hradec Králové, in the year 1997. There were 55 women (55%) and 45 men (45%). The mean age of the patients was 58 years (range 18-84). The operation was performed for keratoconus in 24 eyes (24%), pseudophakic or aphakic endothelial failure in 18 eyes (18%), primary endothelial failure in 14 eyes (14%), traumatic changes in 18 eyes (18%), post-inflammatory changes in 7 eyes (7%). The repeated transplantation was performed in 19 cases (19%), for rejection of the previous graft in 18 eyes (94.7%) and for refractive error in 1 eye (5.3%). The average follow-up period was 10 months (range 6-17 months). For the control analysis 74 patients (74%) were available. The best corrected visual acuity was 6/6-6/18 in 21 eyes (28.4%) and 6/24-6/60 in 15 eyes (20.3%). Postoperative complications comprised rejection of the graft in 17 patients (23.0%), endophthalmitis in 3 patients (4.1%) and secondary glaucoma in 4 patients (5.4%). The results of this study indicate that despite the advantages achieved on this field, there is still scope for improvement.