Penetrating Keratoplasty Performed by Residents | Cornea | JAMA Ophthalmology | JAMA Network
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Clinical Sciences
September 2004

Penetrating Keratoplasty Performed by Residents

Author Affiliations

From the Cornea Service, Department of Ophthalmology, California PacificMedical Center, San Francisco. The authors have no relevant financial interestin this article.

Arch Ophthalmol. 2004;122(9):1333-1336. doi:10.1001/archopht.122.9.1333

Objective  To report the results of penetrating keratoplasty performed by residents.

Method  A retrospective medical record review of all patients undergoing penetratingkeratoplasty performed by residents at our institution from April 1998 toApril 2002.

Results  Forty penetrating keratoplasty procedures were performed by 8 residents.The most common indication was keratoconus (17 eyes [43%]), followed by cornealscarring (14 eyes [35%]). Mean preoperative best-corrected visual acuity was20/250. No intraoperative complications were reported. Mean follow-up timewas 15 months. Postoperatively, mean best-corrected visual acuity was 20/40,mean postoperative astigmatism was 3.4 ± 2.1 diopters, and graft survivalwas 92.5%. Postoperative complications included elevated intraocular pressure,wound dehiscence, and endophthalmitis.

Main Outcome Measures  Best-corrected visual acuity, postoperative astigmatism, graft survival,and intraoperative and postoperative complications.

Conclusion  Residents can be introduced to penetrating keratoplasty and achievesurgical success with intraoperative and postoperative complication ratessimilar to those previously published.