Studený P, Hamouz J, Kuchynka P
Cesk Slov Oftalmol. 2014 Dec;70(6):224-7.
To determine the frequency of corneal transplantations in the Czech Republic in 2012, the percentage representations of the different types of surgeries and main indications for corneal transplantation.
All clinics performing the corneal transplantations were asked to complete a questionnaire about the number of corneal transplants, types of surgeries and indications for such procedures. The obtained data were compared with the annual report of corneal banks for the year 2012.
Data for 465 transplantations were analyzed, it represents 92, 8 % of all corneas issued by the corneal tissue banks. The most common indication for corneal transplantation (regardless of type) was bullous keratopathy (40 % of cases), then keratoconus and other ectatic diseases (19,1 %) and endothelial dystrophy (16,1 %). The most common type of translation was penetrating keratoplasty (50,75 %), then posterior lamellar keratoplasty (44, 95 %) and anterior lamellar keratoplasty (4,3 %).
Acquired data confirm increasing proportion of lamellar transplantations among all corneal keratoplasties, especially posterior lamellar keratoplasty. This approach probably affects indications, for which keratoplasties are made. Keratoplasties are indicated significantly due to endothelial corneal dystrophies such as bullous keratopathy and other endothelial dystrophies. Keratoconus represents approximately 20 % of indications to corneal transplantation.
确定2012年捷克共和国角膜移植的频率、不同类型手术的百分比以及角膜移植的主要适应症。
要求所有进行角膜移植的诊所填写一份关于角膜移植数量、手术类型和此类手术适应症的问卷。将获得的数据与2012年角膜库的年度报告进行比较。
分析了465例移植的数据，占角膜组织库发放的所有角膜的92.8%。角膜移植最常见的适应症（无论类型）是大疱性角膜病变（40%的病例），其次是圆锥角膜和其他扩张性疾病（19.1%）以及内皮营养不良（16.1%）。最常见的移植类型是穿透性角膜移植术（50.75%），其次是后板层角膜移植术（44.95%）和前板层角膜移植术（4.3%）。
获得的数据证实了在所有角膜移植术中板层移植的比例不断增加，尤其是后板层角膜移植术。这种方法可能会影响进行角膜移植的适应症。由于内皮角膜营养不良，如大疱性角膜病变和其他内皮营养不良，角膜移植的指征明显。圆锥角膜约占角膜移植适应症的20%。
