Long-term Topical Steroid Treatment Improves Graft Survival Following Normal-risk Penetrating Keratoplasty

Overview

Journal Am J Ophthalmol

Specialty Ophthalmology

Date 2007 Jul 31

PMID 17659972

Citations 37

Authors

Nhung X Nguyen

Berthold Seitz

Peter Martus

Achim Langenbucher

Claus Cursiefen

Affiliations

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Abstract

Purpose: To assess the impact of duration of topical steroid treatment on the incidence of endothelial graft rejection after normal-risk penetrating keratoplasty (PK).

Design: Prospective, institutional, longitudinal, randomized interventional trial including 406 eyes (age 52 +/- 19 years; follow-up 42 +/- 18 months).

Methods: Postoperative treatment started with prednisolone acetate 1% eye drops five times daily and was tapered over the first six months. Patients were then randomized into either short-term (stop topical steroid treatment) or long-term treatment (continue steroids once daily for 12 months).

Results: During follow-up, 29 eyes (7.1%) developed an episode of endothelial graft rejection. Graft rejections were significantly more common in the short-term (19 of 202; 9.1%) compared with the long-term treatment group (10 of 204: 4.9%; P = .001).

Conclusions: Long-term, low-dose topical steroid treatment protects against immunologic graft rejections.

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Mandal S, Maharana P, Kaweri L, Asif M, Nagpal R, Sharma N Indian J Ophthalmol. 2023; 71(9):3149-3159.

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