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Objective: To report the results of penetrating keratoplasty performed by resi dents. Method: A retrospective medical record review of all patients undergoing penetrating keratoplasty performed by residents at our institution from April 19 98 to April 2002. Results: Forty penetrating keratoplasty procedures were perfor med by 8 residents. The most common indication was keratoconus (17 eyes 43%), followed by corneal scarring (14 eyes 35%). Mean preoperative best-correcte d visual acuity was 20/250. No intraoperative complications were reported. Mean follow-up time was 15 months. Postoperatively, mean best-corrected visual acui ty was 20/40, mean postoperative astigmatism was 3.4±2.1 diopters, and graft su rvival was 92.5%. Postoperative complications included elevated intraocular pre ssure, wound dehiscence, and endophthalmitis. Main Outcome Measures: Best-corre cted visual acuity, postoperative astigmatism, graft survival, and intraoperativ e and postoperative complications. Conclusion: Residents can be introduced to pe netrating keratoplasty and achieve surgical success with intraoperative and post operative complication rates similar to those previously published.
Objective: To report the results of penetrating keratoplasty performed by resi dents. Method: A retrospective medical record review of all patients undergoing penetrating keratoplasty performed by residents at our institution from April 19 98 to April 2002. Results: Forty penetrating keratoplasty procedures were performed med by 8 residents. The most common indication was keratoconus (17 eyes 43%) followed by corneal scarring (14 eyes 35%). Mean preoperative best-correcte d visual acuity was 20/250. No intraoperative complications were reported. Mean follow- up time was 15 months. Postoperatively, mean best-corrected visual acuity was 20/40, mean postoperative astigmatism was 3.4 ± 2.1 diopters, and graft suvival was 92.5%. Postoperatively complications were elevated intraocular pre ssure, wound dehiscence, and endophthalmitis Main Outcome Measures: Best-corre cted visual acuity, postoperative astigmatism, graft survival, and intraoperativ e and postoperative complications. Conclusio n: Residents can be introduced to pe netrating keratoplasty and achieve surgical success with intraoperative and post operative complication rates similar to those previously published.