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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...

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Autores principales: Szkodny, Dominika, Wróblewska-Czajka, Ewa, Wylęgała, Adam, Wylęgała, Edward
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
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.
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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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