Indications for corneal grafting in Zimbabwe.

OBJECTIVE

To assess the indications for corneal grafting in Zimbabwe.

DESIGN

Hospital based retrospective study.

SETTING

The study was conducted at Sekuru Kaguvi Eye Hospital.

METHODS

Data were collected for patients who had corneal grafts performed at Sekuru Kaguvi Eye Hospital during the period January 1992 to March 1998.

RESULTS

The leading indications for penetrating keratoplasty were keratoconus (26.8%), presumed post measles scarring (17.8%), pseudophakic bullous keratopathy (12.5%), corneal scarring due to Herpes simplex keratitis (10.7%) and corneal scarring due to trauma (10.7%). A change in the indications was observed during the study period. The outcome of corneal grafting was favourable with more than 75% experiencing significant improvement in vision.

CONCLUSION

Indications for penetrating keratoplasty in Zimbabwe show a pattern different from those for the developed world. A change in the indications during the study reflects changes in local ophthalmic practice.