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[Perforating keratoplasty in the presence of considerable changes of the anterior segment of the eye (author's transl)].

A report is given on 44 patients with penetrating keratoplasty in severe damage of the anterior eye. The first group consisted of 31 patients with acute, deep inflammatory processes of the cornea, threatened by perforation or with perforation and severe iritis. The second group of 13 patients had had perforating injury with corneal scar, broad anterior synechiae and lens remnants. In group 1 55% had visual function between 0.3 and 1.0; 35.5% showed no improvement, 10% got worse. In group 2 only 5 patients had visual improvement from 0.3-1.0. In 3 patients there was a negative outcome. The indication for corneal graft in these groups and the right moment of operation are discussed. We tried to compare our own results with other statistics.