Abstract
Purpose. We reviewed the clinical data on 10 obese patients to define the role of obesity as a factor for consideration in planning penetrating keratoplasty. Methods. We performed a retrospective case series review of penetrating keratoplasty in obese patients. Results. In our series of 10 patients, spontaneous extrusion of lens and vitreous (three patients) and choroidal hemorrhage (one patient) were intraoperative complications. Wound leakage, wound dehiscence (two patients), iridocorneal synechia formation, and graft rejection (one patient) were post-operative complications. Despite these complications, seven of the 10 patients achieved a final postoperative visual acuity of ≥20/30. Conclusion. Cornea surgeons must consider obesity as a potential risk factor that may be mitigated partially by careful preoperative patient evaluation, anesthesia planning, and meticulous attention to patient positioning and comfort during surgery.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 12-18 |
| Number of pages | 7 |
| Journal | Cornea |
| Volume | 18 |
| Issue number | 1 |
| State | Published - 1999 |
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Keywords
- Obesity
- Penetrating keratoplasty
- Risk factor
ASJC Scopus subject areas
- Ophthalmology
Cite this
Obesity as a factor in penetrating keratoplasty. / Johansen, Thomas R.; Mannis, Mark J; Macsai, Marian S.; Marsh, Peter B.
In: Cornea, Vol. 18, No. 1, 1999, p. 12-18.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Obesity as a factor in penetrating keratoplasty
AU - Johansen, Thomas R.
AU - Mannis, Mark J
AU - Macsai, Marian S.
AU - Marsh, Peter B.
PY - 1999
Y1 - 1999
N2 - Purpose. We reviewed the clinical data on 10 obese patients to define the role of obesity as a factor for consideration in planning penetrating keratoplasty. Methods. We performed a retrospective case series review of penetrating keratoplasty in obese patients. Results. In our series of 10 patients, spontaneous extrusion of lens and vitreous (three patients) and choroidal hemorrhage (one patient) were intraoperative complications. Wound leakage, wound dehiscence (two patients), iridocorneal synechia formation, and graft rejection (one patient) were post-operative complications. Despite these complications, seven of the 10 patients achieved a final postoperative visual acuity of ≥20/30. Conclusion. Cornea surgeons must consider obesity as a potential risk factor that may be mitigated partially by careful preoperative patient evaluation, anesthesia planning, and meticulous attention to patient positioning and comfort during surgery.
AB - Purpose. We reviewed the clinical data on 10 obese patients to define the role of obesity as a factor for consideration in planning penetrating keratoplasty. Methods. We performed a retrospective case series review of penetrating keratoplasty in obese patients. Results. In our series of 10 patients, spontaneous extrusion of lens and vitreous (three patients) and choroidal hemorrhage (one patient) were intraoperative complications. Wound leakage, wound dehiscence (two patients), iridocorneal synechia formation, and graft rejection (one patient) were post-operative complications. Despite these complications, seven of the 10 patients achieved a final postoperative visual acuity of ≥20/30. Conclusion. Cornea surgeons must consider obesity as a potential risk factor that may be mitigated partially by careful preoperative patient evaluation, anesthesia planning, and meticulous attention to patient positioning and comfort during surgery.
KW - Obesity
KW - Penetrating keratoplasty
KW - Risk factor
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M3 - Article
C2 - 9894931
AN - SCOPUS:0032929328
VL - 18
SP - 12
EP - 18
JO - Cornea
JF - Cornea
SN - 0277-3740
IS - 1
ER -