Health Status and Patient Satisfaction after Corneal Graft: Results from the Corneal Transplant Epidemiological Study

Fasolo, Adriano; Capuzzo, Cristina; Fornea, Michela; Frigo, Anna Chiara; Monterosso, Cristina; Zampini, Alfonso; Avarello, Antonio; Galan, Alessandro; Sbordone, Sandro; Ragucci, Adele; Gorla, C; Grigoletto, Francesco; Ponzin, Diego

doi:10.1155/2012/230641

Cited by 12 publications

(13 citation statements)

References 25 publications

(25 reference statements)

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“…10,11 Oftalmolojide hastaların hastalıklara bağlı ya da ameliyatlardan sonra değişen yaşam kalitesinin değerlendirilmesi her geçen gün daha çok önem kazanmaktadır. [12][13][14] Her ne kadar çalışmamızda mevcut yaşam kalitesi anketlerinden birini kullanmamış da olsak, anketi cevaplayan hastaların %70'i kornea naklinden sonra yaşam kalitelerinin daha iyi olduğunu, %22 olgu ise herhangi bir değişiklik farketmediklerini belirttiler. Muhtemelen benzer bir çalışmayı Türkçe olarak valide edilmiş yaşam kalitesi anketlerinden bir ya da birkaçını kullanarak yapmak çok daha güvenilir, tatmin edici sonuçlar verecek ve literatüre çok daha önemli katkılar yapacaktır.…”

Section: Discussionunclassified

Penetran Keratoplasti Sonrası Hasta Memnuniyeti

Onay¹,

Eğrilmez²,

Civan³

et al. 2013

tjo

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ÖzetAmaç: Penetran keratoplasti (PKP) uygulanan hastaların ameliyat sonrası memnuniyetlerini değerlendirmek. Ge reç ve Yön tem: Kliniğimizde PKP uygulanan 100 ardışık hastaya 15 soruluk bir anket uygulandı. Olguların yaşam kaliteleri, beklentileri ve sonuç memnuniyetleri derecelendirildi. So nuç lar: Anketi cevaplayan 100 ardışık hastanın (52 kadın, 48 erkek) yaş ortalamaları 47,2±21,5 (10-85) idi. Hastaların PK'dan sonra ortalama takip süresi en az 12 ay olmak üzere 26,1±26,0 ay idi. Hastaların PKP endikasyonları keratokonus (%27), büllöz keratopati (%26), keratit sekeli (%25), korneal distrofi (%12) ve travma sekeli (%10) idi. Ameliyat öncesi görme keskinliği ortalama 3 metreden parmak sayma (Işık hissi -0,3 arasında) iken ameliyat sonrası görme keskinliği ortalama 0,4 (Işık hissi -1,0 arasında) idi (p<0,01). Hastaların %77'si nakilden önce nakil sonrasında daha iyi görmeyi beklediklerini beyan ettiler. Hastaların %70'i kornea naklinden sonra yaşam kalitelerinin daha iyi olduğunu belirttiler. Hasta memnuniyeti ile cinsiyet, yaş ve ameliyat öncesi görme keskinliği düzeyleri arasında istatistiksel açıdan anlamlı bir korelasyon saptanmadı (p>0,05). Sonuç görme keskinliği istatistiksel açıdan anlamlı tek parametre idi (p=0,01). Hastaların memnuniyeti endikasyonlara göre gruplandığında sıralama keratit sekeli, korneal distrofiler, travma, keratokonus ve büllöz keratopati şeklinde idi. Tar t›fl ma: PKP sonrası hasta memnuniyeti açısından tek anlamlı parametre, sonuç görme keskinliği olarak bulunmuştur. Bu nedenle kornea nakli uygulanacak her hasta, endikasyona özel biçimde bilgilendirilmelidir. Ayrıca, potansiyel sonuç görme keskinliği ve ameliyattan sonra karşılaşılabilecek olası problemler hakkında da aydınlatılmalıdır. (Turk J Ophthalmol 2013; 43: 348-52) Anah tar Ke li me ler: Memnuniyet, penetran keratoplasti, yaşam kalitesi Sum maryPur po se: To evaluate the patient satisfaction after penetrating keratoplasty (PK). Ma te ri al and Met hod:A 15-question survey was given to 100 consecutive patients who had undergone PK in our clinic. Quality of life, expectancy and result satisfaction of the patients were graded. Re sults: Mean age of the 100 (52 female, 48 male) consequtive patients who participated in the survey was 47.2±21.5 (10-85) years. Mean follow-up time of the patients after PK was 26.1±26.0 months, with a minimum of 12 months. The indications of PK were keratoconus (27%), bullous keratopathy (26%), keratitis sequela (25%), corneal dystrophy (12%), and trauma sequela (10%). Mean preoperative visual acuity was counting fingers from 3 meters (light perception -0.3), whereas mean postoperative visual acuity was 0.4 (light perception -1.0) (p<0.01). Seventy seven percent of the patients declared that prior to PK, they expected to see better after the transplantation. Seventy percent of the patients expressed that their quality of life was better after transplantation. No statistically significant correlation of patient satisfaction with gender, age and preoperative visual acuity was detected (p>0.05). Final ...

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Section: Discussionunclassified

Penetran Keratoplasti Sonrası Hasta Memnuniyeti

Onay¹,

Eğrilmez²,

Civan³

et al. 2013

tjo

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“…[1] Corneal transplantation via the restoration of visual function improves both the health status and the quality of life of patients undergoing keratoplasty. [2] Leading indications for keratoplasty and implemented surgical techniques vary from one country to another depending on their geographic regions, socioeconomic conditions, and adaptation to recent surgical technological advancements. [3][4][5][6][7][8][9][10][11] For instance, in developed countries, bullous keratopathy (BK) and Fuchs' endothelial dystrophy (FED) are the leading indications for keratoplasty, and with the adaptation of endothelial keratoplasty (EK) techniques in these countries, Descemet stripping automated endothelial keratoplasty (DSAEK) and Descemet membrane endothelial keratoplasty (DMEK) are the procedures of choice to selectively replace the diseased corneal endothelium.…”

Section: Corneal Blindness Is the Third Leading Cause Of Avoidable VImentioning

confidence: 99%

A 27-Year Report from the Central Eye Bank of Iran

Javadi

Kanavi

Safi

2020

JOVR

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Purpose: To report the 27-year statistical data from the Central Eye Bank of Iran (CEBI) and its activity. Methods: All CEBI records regarding procured eyes, tissue utilizations, corneal transplants per capita, and indications for keratoplasty from 1991 to 2017 were analyzed. Results: In total, 115,743 whole eyes were donated during the 27-year period. Out of the 114,169 eyes donated between 1994 and 2017, 95,314 eyes were distributed for transplantation, and 95,057 corneas were actually transplanted. The mean annual rate of corneal transplants per capita was 55.10−6 ± 27.10−6. Although penetrating keratoplasty (PKP, 70%) was the most common technique of corneal transplantation during the study period, it exhibited a decreasing trend between 2006 and 2017 (P = 0.048). It was in contrast to Descemet stripping automated endothelial keratoplasty (DSAEK) that demonstrated an increasing trend during the same period (P < 0.001). Keratoconus (KCN, 39.70%) was the most leading indication for keratoplasty over the last three decades followed by bullous keratopathy (BK, 18.5%), corneal scar and opacities (15.7%), and graft failure (GF, 7.5%), with an increasing trend for BK, GF, and KCN. A majority of scleral tissues (83.7%) were utilized for orbital implant protection. Conclusion: An increasing trend in the number of procured eyes was observed over the past 27 years in Iran. The most leading indications for corneal transplantation were KCN and BK. While PKP was the most common keratoplasty technique, DSAEK showed an increasing trend over the last 12 years.

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“…Data collection tools included a demographic questionnaire, satisfaction questionnaire, and Persian version of VFQ-39. 12 13 A total of three questionnaires were completed by one of the researchers through interview, and the data were analyzed statistically using SPSS software version 16 (SPSS/IBM Inc., Chicago, Illinois, USA).…”

Section: Ethodsmentioning

confidence: 99%

“…Hence, the results of these assessments can help provide better and high-quality care for patients. 12 …”

Section: Introductionmentioning

confidence: 99%