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The surgical procedure of keratoplasty has perhaps received more attention and publicity than its results warrant, but its whole concept, its intriguing surgical maneuvers, and its at times brilliantly dramatic results cannot fail to excite an ophthalmic surgeon. Yet the fact remains that there is no ophthalmic surgical procedure so subject to complications, so unpredictable in its outcome, and so far removed from the surgeon's control once the initial operative procedure has been completed. As all who have attempted this operation know, leaving the operating room with a sense of having performed a perfect technical job does not by any means guarantee one a smooth postoperative course. Repeatedly we have seen a resident perform his first keratoplasty on an unfavorable case and secure a perfect result, while his chief may have performed a similar operation on a more favorable eye and encountered endless complications.
Why is keratoplasty such an uncertain
D. AG. Unsuccessful Keratoplasty. Arch Ophthalmol. 1963;70(6):737-738. doi:10.1001/archopht.1963.00960050739001