Trends in Indications and Techniques of Corneal Transplantation from 1999 through 2015 at a Tertiary Referral Center in Athens, Greece
Joint Authors
Moschos, Marilita M.
Georgalas, Ilias
Koutsandrea, Chryssanthi
Droutsas, Konstantinos
Bagikos, Georgios
Miltsakakis, Dimitrios
Lazaridis, Apostolos
Kymionis, George
Chatzistefanou, Klio
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-18
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
During the past decade, novel techniques of corneal transplantation allowing faster and better restoration of vision have emerged.
The present cohort study describes a shift of indications and techniques that has occurred in the field of corneal transplantation over a 17-year period in Greece.
Methods.
All patients undergoing keratoplasty between January 1999 and December 2015 at an academic tertiary referral center in Athens, Greece, were retrospectively reviewed.
The annual incidence of keratoplasty indications and techniques was recorded and analyzed.
Results.
A total of 1382 keratoplasty procedures were included.
Leading indications were bullous keratopathy (BK) (37.5%), followed by allograft rejection (17.7%), corneal scar (12%), keratoconus (KC) (10.3%), and Fuchs endothelial dystrophy (FED) (8.8%).
A decreasing trend was observed for KC (P=0.009) and an increasing trend for BK (P=0.003) and FED (P=0.001).
In 2015, the incidence of penetrating keratoplasty (PK) had decreased from 100% (1999 to 2009) to 21.4%; for cases with isolated pathology of the corneal endothelium, DSAEK was the preferred technique (59.8%), while the respective rate of DMEK was 18.8%.
Conclusion.
Herein, we observed an increasing trend of endothelial pathology among keratoplasty indications as well as a major shift in preferred techniques due to a wide adoption of the new EK procedures.
American Psychological Association (APA)
Droutsas, Konstantinos& Bagikos, Georgios& Miltsakakis, Dimitrios& Georgalas, Ilias& Lazaridis, Apostolos& Chatzistefanou, Klio…[et al.]. 2018. Trends in Indications and Techniques of Corneal Transplantation from 1999 through 2015 at a Tertiary Referral Center in Athens, Greece. Journal of Ophthalmology،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1197087
Modern Language Association (MLA)
Droutsas, Konstantinos…[et al.]. Trends in Indications and Techniques of Corneal Transplantation from 1999 through 2015 at a Tertiary Referral Center in Athens, Greece. Journal of Ophthalmology No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1197087
American Medical Association (AMA)
Droutsas, Konstantinos& Bagikos, Georgios& Miltsakakis, Dimitrios& Georgalas, Ilias& Lazaridis, Apostolos& Chatzistefanou, Klio…[et al.]. Trends in Indications and Techniques of Corneal Transplantation from 1999 through 2015 at a Tertiary Referral Center in Athens, Greece. Journal of Ophthalmology. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1197087
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1197087