To report the results of penetrating keratoplasty performed by residents.
A retrospective medical record review of all patients undergoing penetratingkeratoplasty performed by residents at our institution from April 1998 toApril 2002.
Forty penetrating keratoplasty procedures were performed by 8 residents.The most common indication was keratoconus (17 eyes [43%]), followed by cornealscarring (14 eyes [35%]). Mean preoperative best-corrected visual acuity was20/250. No intraoperative complications were reported. Mean follow-up timewas 15 months. Postoperatively, mean best-corrected visual acuity was 20/40,mean postoperative astigmatism was 3.4 ± 2.1 diopters, and graft survivalwas 92.5%. Postoperative complications included elevated intraocular pressure,wound dehiscence, and endophthalmitis.
Main Outcome Measures
Best-corrected visual acuity, postoperative astigmatism, graft survival,and intraoperative and postoperative complications.
Residents can be introduced to penetrating keratoplasty and achievesurgical success with intraoperative and postoperative complication ratessimilar to those previously published.