Trends in penetrating keratoplasty in the United States 1980-2005
Trends in penetrating keratoplasty in the United States 1980-2005
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DOI：
10.1007/s10792-007-9177-z
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发表时间：
2008-06-01
影响因子：
1.6
通讯作者：
Laibson, Peter R.
中科院分区：
文献类型：
--
作者：
Ghosheh, Faris R.;Cremona, Federico A.;Laibson, Peter R.
在这篇综述中，我们分析了过去25年来美国角膜移植的趋势。最显著的变化是在20世纪80年代进行的角膜移植数量的急剧增加，与此相对应的是假性角膜大疱性角膜病变（PBK）作为角膜移植的主要适应症的增加。最近，十多年来，角膜移植术的总数量一直在稳步下降，与此相对应的是，PBK手术的病例数量也在下降，而PBK手术仍然占所有病例的最高比例。由于旧的移植失败，移植已经成为角膜移植越来越重要的指征。圆锥角膜、富氏营养不良和其他遗传性疾病在过去的25年里一直是角膜移植手术的适应症。
In this review, we analyze the trends in corneal transplantation over the past 25 years in the United States. The most dramatic change was the progressive sharp increase in the number of corneal transplants performed during the 1980s, corresponding with the rise of pseudophakic bullous keratopathy (PBK) as the leading indication for keratoplasty. More recently, there has been a steady annual decline in total keratoplasties for more than a decade, corresponding with a decline in the cases performed for PBK, which still accounts for the highest percentage of cases done. Regrafts have been an increasingly important indication for keratoplasty, as older grafts fail. Keratoconus, Fuchs dystrophy, and other inherited diseases have remained consistent indications for keratoplasty during the last quarter century.