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Changes in Technique and Indications for Keratoplasty in Poland, 1989 to 2014: An Analysis of Corneal Transplantations Performed at Saint Barbara Hospital, Trauma Center, Sosnowiec, Poland
- Source :
- Transplantation Proceedings. 48:1818-1823
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- Background The purpose of this work was to study the evolving trends in techniques and indications for corneal transplantation in Poland. Methods This retrospective, descriptive analysis of corneal transplantations was performed at the Ophthalmology Department of Saint Barbara Hospital, Trauma Center, Sosnowiec, Poland, between 1988 and 2014. Structure of indications and surgery type rates over 26 years were tabulated by means of 5-year intervals. Results Between 1989 and 2014, 1762 corneal transplantations were performed, including 1375 (78%) cases of penetrating keratoplasty, 137 (8%) lamellar keratoplasty, 112 (6%) patch grafts, and 138 (8%) keratolimbal allografts. The major indications and their respective overall percentage were corneal leucoma (24%), pseudophakic/aphakic bullous keratopathy (22%), Fuchs dystrophy (13%), keratoconus (13%), re-graft (11%), keratitis (9%), and limbal stem cell deficiency (8%), with changes in relative frequency of the leading indications over the following time intervals. The number of corneal transplantations gradually increased during the years reviewed. The rates of lamellar, keratolimbal, and patch grafts have grown dynamically since 2010, reaching 20%, 17%, and 12%, respectively, of procedures performed during 2010 to 2014. Conclusions Over the past quarter of a century, there has been evolution in corneal transplantation service, from the first penetrating keratoplasty to the wide spectrum of procedures, including femtosecond laser–assisted keratoplasty. Although, since 2010, the rates of lamellar and keratolimbal allografts have grown rapidly, penetrating keratoplasty has remained the leading technique.
- Subjects :
- Adult
Male
medicine.medical_specialty
Keratoconus
medicine.medical_treatment
Ophthalmology department
Fuchs' dystrophy
Corneal Diseases
Keratitis
Limbal stem cell deficiency
Corneal Transplantation
03 medical and health sciences
0302 clinical medicine
Trauma Centers
Ophthalmology
Aphakic bullous keratopathy
medicine
Humans
030212 general & internal medicine
Corneal transplantation
Aged
Retrospective Studies
Transplantation
business.industry
Trauma center
Middle Aged
medicine.disease
eye diseases
Surgery
030221 ophthalmology & optometry
Female
Poland
sense organs
business
Subjects
Details
- ISSN :
- 00411345
- Volume :
- 48
- Database :
- OpenAIRE
- Journal :
- Transplantation Proceedings
- Accession number :
- edsair.doi.dedup.....52e5acf0fa0ec1fed10d0ff6ae49ee71
- Full Text :
- https://doi.org/10.1016/j.transproceed.2016.01.056