Official ESCRS | European Society of Cataract & Refractive Surgeons
Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Emergency corneal grafting in the United Kingdom: a 6 year analysis of the UK transplant registry

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Session Details

Session Title: Cornea Surgical II

Session Date/Time: Tuesday 13/09/2016 | 08:00-10:30

Paper Time: 09:04

Venue: Hall C2

First Author: : A.Tourkmani UK

Co Author(s): :    P. Hossain   M. Tsatsos   M. Jones   D. Anderson           

Abstract Details


To show the 6 year follow up results of emergency corneal graft (eCG) in the United Kingdom.


All corneal grafts registered by the United Kingdom Transplant Service from April 1999 to March 2005


Retrospective, multifactorial analysis. eCG was classified by using ‘reasons for grafts’: therapeutic (severe infection, threatened or actual perforation) as selected by the surgeons on the United Kingdom Transplant Audit form.


A total of 12976 CGs were performed, 1330 (11.4%) of which were done under emergency circumstances including 433 re-grafts. Actual perforation occurred in 876(65.9%) patients of which 420(31.5%) were grafted for tectonic purposes alone and 217(16.3%) were also grafted for visual rehabilitation. The main diagnostic categories were infection(39.4%), ulcerative keratitis(32.2%) and other (ectasias 7%, previous ocular surgery 5.7%, injury 4.1%, dystrophies 2.6% and opacification 1.9%). The overall graft survival of first eCG at one, two and five years were 78%, 66% and 47% respectively. The vision of the surviving grafts was: 6/12 or better in 29.9%, 6/18 to 6/60 in 38.4%, CF to LP in 30.6% and NPL in 1% with worsening of vision in only 8.7% of the patients.


This is the largest study of its kind and shows that despite the severity of the underlying conditions & the surgical challenges that they pose, the outcomes of eCG are favourable with most patients maintaining useful vision & avoiding immediate rejection. This emphasises the importance of eye banking facilities in the supply of high quality corneal tissue for emergency keratoplasty.

Financial Disclosure:


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