한국 각막이식의 실태 = Epidemiologic Studies of Keratoplasty in Korea

다국어 초록 (Multilingual Abstract)

Purpose: To report an epidemiologic study of keratoplasty in which we analyze basic data of corneal transplants and corneal donations in Korea. Methods: From June 2004 through October 2004, questionnaires were distributed to 25 hospitals. The questionnaires were about the characteristics of patients registered in eye banks for keratoplasty from May 2001 to April 2003, and about the results of keratoplasties performed from May 2002 to April 2003. Results: The leading corneal diseases in patients registered for keratoplasty were infectious keratitis (22.0%), trauma (21.0%), and pseudophakic and aphakic bullous keratopathy (13.8%), in that order. The leading indications in corneal recipients were: trauma (15.5%), pseudophakic and aphakic bullous keratopathy (13.7%), and infectious keratitis (10.7%), in that order. In 233 cases of keratoplasties, penetrating keratoplasty was performed in 229 cases (98.3%) and lamellar keratoplasty was performed in 4 cases (1.7%). The most common combined surgery was cataract extraction. Common causes of graft failure were rejection of donor cornea and infection. Imported donor corneas were used in sixty-one cases (26.2%) among the 233 total keratoplasties. Conclusions: We constructed an epidemiologic data base of patients registered for keratoplasty, corneal donation, and the results of keratoplasties throughout Korea.

참고문헌 (Reference)

1 "Viability of human corneal endothelium following Optisol-GS storage" 113 : 805-809, 1995

2 "The corneal epithelium after Optisol-GS storage" 15 : 599-605, 1996

3 "The clinical evaluations of the penetrating keratoplasty:cornea from brain death versus cornea from cadaver" 35 : 902-7, 1994

4 "The clinical evaluations of the penetrating keratoplasty with imported donor corneas" 46 : 28-34, 2005

5 "The change of keratometric value following penetrating keratoplasty" 39 : 1984-1990, 1998

6 "Risk factors of corneal graft failure" 100 : 1728-35, 1993

7 "Risk factors for corneal graft failure and rejection in the collaborative corneal transplantation studies" 101 : 1536-47, 1994

8 "Penetrating keratoplasty results in 275 cases" 42 : 20-29, 2001

9 "Penetrating keratoplasty in infants and children" 97 : 243-9, 1990

10 "Penetrating keratoplasty" Churchill Livingstone Inc 805-810, 1998

11 "Outcomes of penetrating keratoplasty with imported donor corneas" 18 : 182-187, 1999

12 "Long-term outcome of graft rejection after penetrating keratoplasty" 38 : 1553-1560, 1997

13 "Graft failure after penetrating keratoplasty" 34 : 325-56, 1990

14 "Factors predictive of corneal graft survival" 99 : 403-14, 1992

15 "Efficacy and safety of international donor sharing:a single-center,case-controlled study on corneal transplantation" 78 : 216-220, 2004

16 "Effectiveness of histocompatibility matching in high-risk corneal transplantation" 110 : 1392-403, 1992

17 "Corneal graft survival and visual outcome" 101 : 120-7, 1994

18 "Clinical indications for and procedures associated with penetrating keratoplasty,1983 1988" 108 : 118-22, 1989

19 "Clinical analysis of keratoplasty over a 23 year-time span" 42 : 20-9, 1991

20 "A clinical study of risk factors of graft rejection for penetrating keratoplasty" 37 : 1095-1104, 1996

21 "2002 eye banking statistical report" Eye Bank Association of America 2-15, 2003