**2.1.7 Complications**

We have had no intraoperative complications. Postoperative glaucoma appeared in 2 cases, in one case trabeculectomy was performed. In 3 cases cataract operation was necessary after some months. In one case retinal detachment developed and therefore scleral buckling operation was needed.

Fig. 3. Postoperative status of perforated keratoplasty of patient No 5.

In one case we performed corneal abrasion, but as it proved ineffective we followed it up

Perforating keratoplasty was performed in six cases. In four cases keratoplasty was performed as an emergency to save the eyeball (because of descemetocele), in two cases the operations were scheduled for visual rehabilitation. The emergency cases were the "late

Shape and size of keratoplasty and surgical techniques: All keratoplasties were perforating (penetrating), and central. All surgical procedures were done by two experienced surgeons. All cases were performed under retrobulbar anaesthesia. The trephination was performed with modified Geuder trephines for the host cornea from the epithelial side, and the graft from the endothelial side. Donor corneas were from the Eye Bank of our department. Only grafts with an endothelial cell count above 2000 cells/mm² were used. The mean graft diameter was 7.7 mm (range 7.25 to 8.25 mm), with an average over sizing of 0.5 mm. Graft

Topical antibiotic and steroid drops were used five times a day for 6 weeks, then only steroid drops for 6 months. Anti amoebatic drops 5 times/day for at least six months.

We have had no intraoperative complications. Postoperative glaucoma appeared in 2 cases, in one case trabeculectomy was performed. In 3 cases cataract operation was necessary after some months. In one case retinal detachment developed and therefore scleral buckling

fixation was performed in all cases with running nylon 10/0 sutures. (Fig. 3.,4.)

Fig. 3. Postoperative status of perforated keratoplasty of patient No 5.

**2.1.5 Indications for surgical intervention** 

with perforating keratoplasty.

**2.1.6 Postoperative management** 

**2.1.7 Complications** 

operation was needed.

diagnostic" cases.

Fig. 4. Early postoperative status of patient No 2.
