Abstract

A retrospective statistical study a collection of all patients which need keratoplasty in the Central Committee for Internal and External Therapy in Tobruk medical Centre between 01.01.2018 to 31.05.2020. Aimed to analyze the indication of keratoplasty and type of keratoplasty in our region. There were 81 patients asking for keratoplasty 61 patients (76%) were keratoconus, 28 were male (46%) and 33 were female (54%), the age average for the keratoconus cases is 32.5 Years, The most cases of keratoconus, 46 patients (75.4%) presented with Grade IV with corneal opacity and poor vision between (HM and CF 3 meter), these cases advised to do penetrating keratoplasty (PKP). DALK (deep anterior lamellar kertoplasty) advised only for (24.6%) of keratoconus cases. The second most common indications for keratoplasty in our study was post traumatic corneal scar, 7 patients (9%), average of age is 33.4 Years, 6 patients (86%) was male, all of the cases presented with sever loss of the vision (HM and PL), and deep scaring involved most of the corneal layers, all of the cases advised for penetrating keratoplasty. The post infectious keratitis recorded as third leading indications were only in 5 patients (6.2%), two was male and 3 female, average of age is 56 Years, all of them with unilateral corneal opacity due to herps keratitis, 60% of them with sever corneal opacity and sever loss of vision and penetrating keratoplasty was indicated. The corneal decompensating post cataract surgery was the fourth indication for keratoplasty, there were 4 Patients, two male and two female, all them presented with sever loss of vision (HM and PL), due to advanced corneal opacity and all of them advised for penetrating keratoplasty. As in the other many previse studies in different region the post LASIK and congenital corneal opacity are very rare indication for keratoplasty.