Autologou ipilateral rotating penetrating keratoplaty

PURPOE: To evaluate viual outcome after autologou ipilateral rotating penetrating keratoplaty. METHOD: The tudy included nine patient who conecutively underwent autologou ipilateral rotating penetrating keratoplaty for treatment of traumatic central corneal avacular car. Thee patient were compared with 105 patient who conecutively underwent homologou central penetrating keratoplaty in the ame tudy period for treatment of avacular corneal car extending to the corneal periphery. All operation were performed by the ame urgeon. Mean follow-up time for both tudy group wa 31.27 ± 21.54 and 32.0 ± 19.4 month, repectively. REULT: In the autologou rotating keratoplaty group, viual acuity increaed ignificantly (P = 0.03; Wilcoxon tet) from 0.13 ± 0.11 preoperatively to 0.29 ± 0.16 potoperatively. Refractive atigmatim and keratometric atigmatim, repectively, increaed (P = 0.02) from 3.19 ± 2.53 diopter and 3.20 ± 2.24 diopter, repectively, preoperatively to 6.9 ± 1.82 diopter and 9.55 ± 4.32 diopter, repectively, potoperatively. Comparing the tudy group, potoperative viual acuity wa ignificantly lower (P = 0.01), and keratometric atigmatim (P = 0.003) and refractive atigmatim (P = 0.01) were ignificantly higher in the autologou rotating keratoplaty group than in the control group. CONCLUION: Autologou ipilateral rotating penetrating keratoplaty compared with homologou central penetrating keratoplaty i aociated with a high potoperative refractive and keratometric atigmatim leading to a relatively low potoperative viual acuity. It ugget that, in normal clinical condition when donor material i available and potoperative follow-up examination can be performed, homologou central penetrating keratoplaty may be uperior to autologou ipilateral rotating keratoplaty.