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Indications and techniques of corneal transplants performed in one center in Southern Poland, in the years 2001–2020
PURPOSE: The study aimed to evaluate changes over a period of time in techniques and indications for corneal transplantation in a single center in Poland. METHODS: Retrospective analysis of corneal transplants performed at the Ophthalmology Department of the District Railway Hospital in Katowice in...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674162/ https://www.ncbi.nlm.nih.gov/pubmed/36399464 http://dx.doi.org/10.1371/journal.pone.0276084 |
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author | Szkodny, Dominika Wróblewska-Czajka, Ewa Wylęgała, Adam Wylęgała, Edward |
author_facet | Szkodny, Dominika Wróblewska-Czajka, Ewa Wylęgała, Adam Wylęgała, Edward |
author_sort | Szkodny, Dominika |
collection | PubMed |
description | PURPOSE: The study aimed to evaluate changes over a period of time in techniques and indications for corneal transplantation in a single center in Poland. METHODS: Retrospective analysis of corneal transplants performed at the Ophthalmology Department of the District Railway Hospital in Katowice in 2001–2020. Data on indications and surgical technique were collected. RESULTS: A total of 3021 corneal transplantations were performed in the years 2000–2020. The most common technique was penetrating keratoplasty (69,54%), then lamellar grafts—both anterior and posterior (19,63%), and limbal grafts (10,82%). Only in 2007 the number of lamellar keratoplasties exceeded the number of penetrating grafts and accounted for 108 (54,55%), including 85 (42,93%) of Descemet Stripping Automated Endothelial Keratoplasty. The only noticeable trend in changing techniques was a decrease in the number of performed deep anterior lamellar keratoplasties (r 2 = -0.21) over the last seven years. Main indications included bullous keratopathy (23,22%), following keratoconus (18,59%), leukoma (14,67%), keratitis and perforation (14,3%), Fuchs dystrophy (11,4%), and regrafts (7,22%). Leukoma and bullous keratopathy as an indications for corneal transplant have been declining over the years (r2 = 0.60 and r2 = 0.30 respectively). Consecutively, indications such as fuchs dystrophy, regraft and keratitis perforation have increased (r2 = 0.05, r2 = 0.50, r2 = 0.33) CONCLUSIONS: The number of keratoplasties gradually increased from 2001 to 2020. It could be possible that the development and spread of new therapeutic alternatives, like corneal cross-linking and scleral lenses, have contributed to the decrease in deep anterior lamellar keratoplasty performed. There was an increasing trend in the percentage of penetrating keratoplasties for failed grafts, Fuchs dystrophy and infectious keratitis. |
format | Online Article Text |
id | pubmed-9674162 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-96741622022-11-19 Indications and techniques of corneal transplants performed in one center in Southern Poland, in the years 2001–2020 Szkodny, Dominika Wróblewska-Czajka, Ewa Wylęgała, Adam Wylęgała, Edward PLoS One Research Article PURPOSE: The study aimed to evaluate changes over a period of time in techniques and indications for corneal transplantation in a single center in Poland. METHODS: Retrospective analysis of corneal transplants performed at the Ophthalmology Department of the District Railway Hospital in Katowice in 2001–2020. Data on indications and surgical technique were collected. RESULTS: A total of 3021 corneal transplantations were performed in the years 2000–2020. The most common technique was penetrating keratoplasty (69,54%), then lamellar grafts—both anterior and posterior (19,63%), and limbal grafts (10,82%). Only in 2007 the number of lamellar keratoplasties exceeded the number of penetrating grafts and accounted for 108 (54,55%), including 85 (42,93%) of Descemet Stripping Automated Endothelial Keratoplasty. The only noticeable trend in changing techniques was a decrease in the number of performed deep anterior lamellar keratoplasties (r 2 = -0.21) over the last seven years. Main indications included bullous keratopathy (23,22%), following keratoconus (18,59%), leukoma (14,67%), keratitis and perforation (14,3%), Fuchs dystrophy (11,4%), and regrafts (7,22%). Leukoma and bullous keratopathy as an indications for corneal transplant have been declining over the years (r2 = 0.60 and r2 = 0.30 respectively). Consecutively, indications such as fuchs dystrophy, regraft and keratitis perforation have increased (r2 = 0.05, r2 = 0.50, r2 = 0.33) CONCLUSIONS: The number of keratoplasties gradually increased from 2001 to 2020. It could be possible that the development and spread of new therapeutic alternatives, like corneal cross-linking and scleral lenses, have contributed to the decrease in deep anterior lamellar keratoplasty performed. There was an increasing trend in the percentage of penetrating keratoplasties for failed grafts, Fuchs dystrophy and infectious keratitis. Public Library of Science 2022-11-18 /pmc/articles/PMC9674162/ /pubmed/36399464 http://dx.doi.org/10.1371/journal.pone.0276084 Text en © 2022 Szkodny et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Szkodny, Dominika Wróblewska-Czajka, Ewa Wylęgała, Adam Wylęgała, Edward Indications and techniques of corneal transplants performed in one center in Southern Poland, in the years 2001–2020 |
title | Indications and techniques of corneal transplants performed in one center in Southern Poland, in the years 2001–2020 |
title_full | Indications and techniques of corneal transplants performed in one center in Southern Poland, in the years 2001–2020 |
title_fullStr | Indications and techniques of corneal transplants performed in one center in Southern Poland, in the years 2001–2020 |
title_full_unstemmed | Indications and techniques of corneal transplants performed in one center in Southern Poland, in the years 2001–2020 |
title_short | Indications and techniques of corneal transplants performed in one center in Southern Poland, in the years 2001–2020 |
title_sort | indications and techniques of corneal transplants performed in one center in southern poland, in the years 2001–2020 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674162/ https://www.ncbi.nlm.nih.gov/pubmed/36399464 http://dx.doi.org/10.1371/journal.pone.0276084 |
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