**8.2.3 Graft failure**

Graft failure can be secondary to unresponding to treatment graft reject, endothelial descompensation or infection recurrence. It is much more common in therapeutic keratoplasties than in other indications. We report an incidence of 38,8%. In our center is much higher than in other reports because the quality of donor tissue in this type of keratoplasty is not as good as in optical procedures because of the relative paucity of corneal tissue in our country as well as the emergency under which this surgery is performed. Sharma et al. 2010 After the integrity of the globe is preserved and ocular inflammation has subsided, a smaller-diameter optical keratoplasty may be performed electively for visual rehabilitation

Recurrences can be avoided by performing a careful excision of the recipient cornea including all the infected material and with as adequate postoperative antibiotic and corticosteroid management. In our experience in fungal keratitis an Non tuberculous

Adequate control of postoperative inflammation and careful liberation of synechiae during surgery lowers the incidence of secondary glaucoma which can endangers keratoplasty success. We found a incidence of secondary glaucoma of 22,4%. Only 4, 47% patients needed

*Mycobacterium* we observed 31.34% recurrences. Fig. 17,18.

a filtering surgery to control intraocular pressure. Fig. 19.

Fig. 19. Some patient needed Ahmed valvule for hypertension control

treatment. We did find an incidence of 7, 46%.

As lens metabolism is dependent on the health of the eye, any ocular disease that affects the supply of oxygen and nutrients, or produces toxic substances will give rise to cataract. Also the incidence of cataract formation is higher because of the intense postoperative steroid

Graft failure can be secondary to unresponding to treatment graft reject, endothelial descompensation or infection recurrence. It is much more common in therapeutic keratoplasties than in other indications. We report an incidence of 38,8%. In our center is much higher than in other reports because the quality of donor tissue in this type of keratoplasty is not as good as in optical procedures because of the relative paucity of corneal tissue in our country as well as the emergency under which this surgery is performed. Sharma et al. 2010 After the integrity of the globe is preserved and ocular inflammation has subsided, a smaller-diameter optical keratoplasty may be performed electively for visual

**8.2 Late-onset complications 8.2.1 Secondary glaucoma** 

**8.2.2 Cataract** 

**8.2.3 Graft failure** 

rehabilitation

Fig. 20. Post Therapeutic keratoplasty in Candida keratitis, with clear button and cataract.
