Indications for penetrating keratoplasty and anterior lamellar keratoplasty during 2010-2017
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Hua-Lei Zhai. Qingdao Eye Hospital of Shandong First Medical University, 5 Yan’erdao Rd, Qingdao 266071, Shandong Province, China. zhaihualei0001@126.com

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Supported by the National Natural Science Foundation of China (No.81500703); the Natural Science Foundation of Shandong Province (No.ZR2015YL027); the Innovation Project of Shandong Academy of Medical Sciences.

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    Abstract:

    AIM: To review the indications of penetrating keratoplasty (PK) and anterior lamellar keratoplasty (ALK) at Qingdao Eye Hospital, Shandong Eye Institute, Qingdao, China, from 2010 to 2017. METHODS: The data of all patients undergoing PK or ALK from January 2010 to December 2017 was retrospectively reviewed, with the indications during 2010-2013 and 2014-2017 compared. RESULTS: A total of 1869 eyes were included, among which 1405 eyes (75.2%) had PK and 464 eyes (24.8%) had ALK. The leading indications were suppurative keratitis (36.8%), keratoconus (15.5%), herpes keratitis (13.1%), and regraft (10.5%). In eyes undergoing PK, the top four indications were suppurative keratitis (38.7%), herpes keratitis (15.3%), keratoconus (12.6%), and regraft (12.5%) during 2014-2017, with the proportion of suppurative keratitis and herpes keratitis decreased while regraft and keratoconus increased compared with 2010-2013. In eyes with ALK, suppurative keratitis (30.8%), keratoconus (24.1%), corneal dystrophies and degenerations (10.6%), and corneal dermoid tumor (9.7%) were the top four indications, and there was no significant difference for the proportion of each indication between 2010-2013 and 2014-2017. CONCLUSION: Suppurative keratitis is the most common indication for PK and ALK at Qingdao Eye Hospital during 2010-2017, followed by keratoconus, herpes keratitis, and regraft. In eyes treated with PK, the proportion of suppurative keratitis and herpes keratitis decrease while regraft and keratoconus increase during 2014-2017 compared with 2010-2013.

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Sun XT, Zhai HL, Cheng J, Kong QQ, Cong L, Li L, Hao WP. Indications for penetrating keratoplasty and anterior lamellar keratoplasty during 2010-2017. Int J Ophthalmol 2019;12(12):1878-1884

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Publication History
  • Received:June 17,2019
  • Revised:September 12,2019
  • Adopted:
  • Online: November 06,2019
  • Published: