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A View of Cornea Transplantation From the Patient’s Perspective

Transplant Proc. 2026 Feb 27:S0041-1345(26)00089-8. doi: 10.1016/j.transproceed.2025.12.020. Online ahead of print.

ABSTRACT

BACKGROUND: To assess the patients’ satisfaction and health-related quality of life after the penetrating keratoplasty (PK).

METHODS: 100 consecutive patients who had undergone PK participated in a 16-question survey in our clinic. Quality of life, expectancy, mood, and satisfaction of the patients were graded.

RESULTS: The average age of 100 patients (45 female, 55 male) who responded to the survey was 47.2 ± 21.5 (10-85) years. The average follow-up period of the patients was at least 12 months. The indications of the patients were keratoconus (35%), bullous keratopathy (22%), keratitis sequela (18%), trauma sequelae (15%), and corneal dystrophy (10%). While the average preoperative visual acuity was counting fingers at 2 meters (Light sensation- 0.2), the postoperative visual acuity was 0.5 (Light sensation – 1.0). While visual acuity remained constant in 8 cases, it increased in 92 cases. As a result, visual acuity was the only parameter that was statistically significant (p < .01). When patients’ satisfaction was grouped according to indications, they were listed as follows: keratoconus, corneal dystrophies, keratitis sequelae, trauma, and bullous keratopathy. In general, corneal transplant patients were satisfied with the results and were happy.

CONCLUSIONS: The only significant parameter in terms of patient satisfaction after the PK was found to be the outcome of visual acuity. For this reason, patients who will undergo corneal transplantation should be provided with clear and understandable information about their diseases and complications that may develop after transplantation.

PMID:41763942 | DOI:10.1016/j.transproceed.2025.12.020

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