伊朗穿透性角膜移植术的适应症。

Indications for penetrating keratoplasty in Iran.

作者信息

Kanavi Mozhgan Rezaei, Javadi Mohammad Ali, Sanagoo Masoomeh

机构信息

Department of Ophthalmology, Shahid Beheshti Medical University, Tehran, Iran.

出版信息

Cornea. 2007 Jun;26(5):561-3. doi: 10.1097/ICO.0b013e318041f05c.

DOI:10.1097/ICO.0b013e318041f05c

PMID:17525652

Abstract

PURPOSE

To determine the indications for penetrating keratoplasty (PK) in Iran.

METHODS

: All eye bank records of patients who had undergone PK between 1994 and 2004 at ophthalmic centers throughout the country were reviewed.

RESULTS

During this 11-year period, a total of 19,668 cases were operated on. The most common indication for PK was keratoconus (n = 6787, 34.51%), followed by corneal opacity and scar (n = 3674, 18.68%), pseudophakic bullous keratopathy (n = 1808, 9.19%), corneal dystrophies (n = 1272, 6.47%), aphakic bullous keratopathy (n = 1198, 6.09%), and regraft (n = 1038, 5.28%). There was an increasing trend in rates of keratoconus and pseudophakic bullous keratopathy and a decreasing trend in aphakic bullous keratopathy over this period (P < 0.001). No significant change of trend was noted in the corneal opacity and scar, regraft, and corneal dystrophy groups.

CONCLUSIONS

Keratoconus is the most common indication for PK in Iran.

摘要

目的

确定伊朗穿透性角膜移植术（PK）的适应证。

方法

回顾了1994年至2004年间在全国眼科中心接受PK治疗的所有患者的眼库记录。

结果

在这11年期间，共进行了19668例手术。PK最常见的适应证是圆锥角膜（n = 6787，34.51%），其次是角膜混浊和瘢痕（n = 3674，18.68%）、人工晶状体眼大泡性角膜病变（n = 1808，9.19%）、角膜营养不良（n = 1272，6.47%）、无晶状体眼大泡性角膜病变（n = 1198，6.09%）和再次移植（n = 1038，5.28%）。在此期间，圆锥角膜和人工晶状体眼大泡性角膜病变的发生率呈上升趋势，无晶状体眼大泡性角膜病变的发生率呈下降趋势（P < 0.001）。角膜混浊和瘢痕、再次移植以及角膜营养不良组未观察到明显的趋势变化。