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[圣保罗圣卡塔琳娜眼库移植角膜分析]

[Analysis of the transplanted corneas at Santa Casa de São Paulo Eye Bank].

作者信息

Sano Ronaldo Yuiti, Sano Fabiana Tiemi, Dantas Maria Cristina Nishiwaki, Lui Aline Cristina Fioravanti, Sano Milena Eimi, Neto Adamo Lui

机构信息

Seção de Retina, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil.

出版信息

Arq Bras Oftalmol. 2010 May-Jun;73(3):254-8. doi: 10.1590/s0004-27492010000300009.

Abstract

PURPOSE

To identify the donors' profile and evaluate the factors influencing the quality of the donated corneas in Santa Casa Eye Bank, from July, 2000 to January, 2004.

METHODS

Data from the charts of 151 patients submitted to penetrating keratoplasty, registered in Santa Casa Eye Bank, from July, 2000 to January 2004 resulted in 180 surgeries.

RESULTS

Mean age of the donors was 57.57 +/- 19.74 years old (varied from 9 months to 97 years old) and 54.44% were male. The cause of death was predominantly cardiovascular (50.55%), followed by consumptive diseases (17.77%), trauma (14.44%) and others (17.22%). Considering the quality of the cornea, there was no statistically significant difference among the three main groups of cause of death (p=0.527) and time from death to corneal preservation (p=0.053). There was a statistically significant difference between quality of donated corneas above 61 years old and other ages (p=0.037).

CONCLUSION

The most frequent cause of death was cardiovascular, followed by pulmonary diseases and trauma. We could also note that factors inherent to donor like age (>60 years old) predisposed to a worse anatomical quality of the cornea and factors like cause of death and time between death and preservation did not influence the quality of the cornea.

摘要

目的

确定2000年7月至2004年1月期间圣卡塔琳娜眼库捐赠者的概况,并评估影响捐赠角膜质量的因素。

方法

对2000年7月至2004年1月在圣卡塔琳娜眼库登记的151例行穿透性角膜移植术患者的病历数据进行分析,共进行了180例手术。

结果

捐赠者的平均年龄为57.57±19.74岁(9个月至97岁),男性占54.44%。死亡原因主要是心血管疾病(50.55%),其次是消耗性疾病(17.77%)、创伤(14.44%)和其他(17.22%)。考虑到角膜质量,在三种主要死亡原因组(p=0.527)和从死亡到角膜保存的时间(p=0.053)之间没有统计学上的显著差异。61岁以上捐赠角膜的质量与其他年龄组之间存在统计学上的显著差异(p=0.037)。

结论

最常见的死亡原因是心血管疾病,其次是肺部疾病和创伤。我们还可以注意到,捐赠者固有的因素如年龄(>60岁)易导致角膜解剖质量较差,而死亡原因和死亡与保存之间的时间等因素并未影响角膜质量。

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