Long-term outcome after corneal transplantation : visual result and patient perception of success
Snellen acuity, reading line, and keratometry were measured in a cohort of 60 patients at 2 or more years after penetrating keratoplasty was performed. Patients were asked to complete a questionnaire to elicit information on their perceptions of visual function and the success of the procedure. Usin...
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| Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 1991-05, Vol.98 (5), p.651-657 |
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| container_title | Ophthalmology (Rochester, Minn.) |
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| creator | WILLIAMS, K. A ASH, J. K PARARAJASEGARAM, P HARRIS, S COSTER, D. J |
| description | Snellen acuity, reading line, and keratometry were measured in a cohort of 60 patients at 2 or more years after penetrating keratoplasty was performed. Patients were asked to complete a questionnaire to elicit information on their perceptions of visual function and the success of the procedure. Using preferred correction, a Snellen acuity of 6/18 or better was achieved by 65%, and a reading line of N8 or better was achieved by 57% of index grafts. Thirty-eight percent had more than 5 diopters (D) of astigmatism in the graft. Approximately 75% of patients reported satisfaction with their graft (satisfaction being associated with better acuity in the grafted eye than the other eye), graft clarity, and a perceived improvement in lifestyle. Dissatisfaction appeared to be associated with graft failure and problems with contact lens wear. The findings have implications for patient selection for corneal transplantation and for the measurement of outcome. |
| doi_str_mv | 10.1016/S0161-6420(91)32238-3 |
| format | Article |
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A ; ASH, J. K ; PARARAJASEGARAM, P ; HARRIS, S ; COSTER, D. J</creator><creatorcontrib>WILLIAMS, K. A ; ASH, J. K ; PARARAJASEGARAM, P ; HARRIS, S ; COSTER, D. J</creatorcontrib><description>Snellen acuity, reading line, and keratometry were measured in a cohort of 60 patients at 2 or more years after penetrating keratoplasty was performed. Patients were asked to complete a questionnaire to elicit information on their perceptions of visual function and the success of the procedure. Using preferred correction, a Snellen acuity of 6/18 or better was achieved by 65%, and a reading line of N8 or better was achieved by 57% of index grafts. Thirty-eight percent had more than 5 diopters (D) of astigmatism in the graft. Approximately 75% of patients reported satisfaction with their graft (satisfaction being associated with better acuity in the grafted eye than the other eye), graft clarity, and a perceived improvement in lifestyle. Dissatisfaction appeared to be associated with graft failure and problems with contact lens wear. The findings have implications for patient selection for corneal transplantation and for the measurement of outcome.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/S0161-6420(91)32238-3</identifier><identifier>PMID: 2062497</identifier><identifier>CODEN: OPHTDG</identifier><language>eng</language><publisher>New York, NY: Elsevier</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Astigmatism - therapy ; Biological and medical sciences ; Child ; Child, Preschool ; Cohort Studies ; Consumer Behavior ; Contact Lenses ; Eyeglasses ; Graft Rejection ; Humans ; Keratoplasty, Penetrating ; Life Style ; Longitudinal Studies ; Medical sciences ; Prognosis ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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K</creatorcontrib><creatorcontrib>PARARAJASEGARAM, P</creatorcontrib><creatorcontrib>HARRIS, S</creatorcontrib><creatorcontrib>COSTER, D. J</creatorcontrib><title>Long-term outcome after corneal transplantation : visual result and patient perception of success</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>Snellen acuity, reading line, and keratometry were measured in a cohort of 60 patients at 2 or more years after penetrating keratoplasty was performed. Patients were asked to complete a questionnaire to elicit information on their perceptions of visual function and the success of the procedure. Using preferred correction, a Snellen acuity of 6/18 or better was achieved by 65%, and a reading line of N8 or better was achieved by 57% of index grafts. Thirty-eight percent had more than 5 diopters (D) of astigmatism in the graft. Approximately 75% of patients reported satisfaction with their graft (satisfaction being associated with better acuity in the grafted eye than the other eye), graft clarity, and a perceived improvement in lifestyle. Dissatisfaction appeared to be associated with graft failure and problems with contact lens wear. The findings have implications for patient selection for corneal transplantation and for the measurement of outcome.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Astigmatism - therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Consumer Behavior</subject><subject>Contact Lenses</subject><subject>Eyeglasses</subject><subject>Graft Rejection</subject><subject>Humans</subject><subject>Keratoplasty, Penetrating</subject><subject>Life Style</subject><subject>Longitudinal Studies</subject><subject>Medical sciences</subject><subject>Prognosis</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Surveys and Questionnaires</subject><subject>Visual Acuity</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LxDAQhoMo67r6ExZyENFDNR9N2nqTxS9Y8KCey2w6kUrb1CQV_PcGLXuZ4eV5GIaXkDVn15xxffOaBs90Lthlxa-kELLM5AFZcpVXWV5weUiWe-WYnITwyRjTWuYLshBMi7wqlgS2bvjIIvqeuika1yMFmyI1zg8IHY0ehjB2MESIrRvoLf1uw5SAxzB1kcLQ0DEhHCId0Rsc_zRnaZiMwRBOyZGFLuDZvFfk_eH-bfOUbV8enzd322wUUsVMWsEtA2VsAXLHbNPoBlDlWmpZGuCIGgykhCIvCgEKoRBVqUqLsmpKlCty8X939O5rwhDrvg0Gu_Q6uinUJdOqKrRK4noWp12PTT36tgf_U8-dJH4-cwgGOpsKMG3Ya0rykkkufwHJ_XMI</recordid><startdate>19910501</startdate><enddate>19910501</enddate><creator>WILLIAMS, K. A</creator><creator>ASH, J. K</creator><creator>PARARAJASEGARAM, P</creator><creator>HARRIS, S</creator><creator>COSTER, D. 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J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p235t-3f21f0a5cf7a3b0fdd6dae5463638ca1ee6aca636e24772a5ea729858fe39d8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Astigmatism - therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>Consumer Behavior</topic><topic>Contact Lenses</topic><topic>Eyeglasses</topic><topic>Graft Rejection</topic><topic>Humans</topic><topic>Keratoplasty, Penetrating</topic><topic>Life Style</topic><topic>Longitudinal Studies</topic><topic>Medical sciences</topic><topic>Prognosis</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Surveys and Questionnaires</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>WILLIAMS, K. A</creatorcontrib><creatorcontrib>ASH, J. K</creatorcontrib><creatorcontrib>PARARAJASEGARAM, P</creatorcontrib><creatorcontrib>HARRIS, S</creatorcontrib><creatorcontrib>COSTER, D. J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>WILLIAMS, K. A</au><au>ASH, J. K</au><au>PARARAJASEGARAM, P</au><au>HARRIS, S</au><au>COSTER, D. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term outcome after corneal transplantation : visual result and patient perception of success</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>1991-05-01</date><risdate>1991</risdate><volume>98</volume><issue>5</issue><spage>651</spage><epage>657</epage><pages>651-657</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><coden>OPHTDG</coden><abstract>Snellen acuity, reading line, and keratometry were measured in a cohort of 60 patients at 2 or more years after penetrating keratoplasty was performed. Patients were asked to complete a questionnaire to elicit information on their perceptions of visual function and the success of the procedure. Using preferred correction, a Snellen acuity of 6/18 or better was achieved by 65%, and a reading line of N8 or better was achieved by 57% of index grafts. Thirty-eight percent had more than 5 diopters (D) of astigmatism in the graft. Approximately 75% of patients reported satisfaction with their graft (satisfaction being associated with better acuity in the grafted eye than the other eye), graft clarity, and a perceived improvement in lifestyle. Dissatisfaction appeared to be associated with graft failure and problems with contact lens wear. The findings have implications for patient selection for corneal transplantation and for the measurement of outcome.</abstract><cop>New York, NY</cop><pub>Elsevier</pub><pmid>2062497</pmid><doi>10.1016/S0161-6420(91)32238-3</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0161-6420 |
| ispartof | Ophthalmology (Rochester, Minn.), 1991-05, Vol.98 (5), p.651-657 |
| issn | 0161-6420 1549-4713 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent Adult Aged Aged, 80 and over Astigmatism - therapy Biological and medical sciences Child Child, Preschool Cohort Studies Consumer Behavior Contact Lenses Eyeglasses Graft Rejection Humans Keratoplasty, Penetrating Life Style Longitudinal Studies Medical sciences Prognosis Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Surveys and Questionnaires Visual Acuity |
| title | Long-term outcome after corneal transplantation : visual result and patient perception of success |
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