Surgeon Preferences for Endothelial Keratoplasty in Canada

Kisilevsky, Eli; Srikumaran, Divya; Chew, Hall F.

doi:10.1097/ico.0000000000002639

Cited by 3 publications

(1 citation statement)

References 14 publications

(25 reference statements)

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“… 42 A survey among Canadian corneal surgeons revealed DMEK to be the preferred surgery method for endothelial corneal diseases. 43 When comparing DMEK and DSAEK for the treatment of FECD and pseudophakic bullous keratopathy, patients with DMEK showed a better graft survival and fewer rejections than patients treated with PKP or DSAEK receiving the same medical postoperative therapy. 44 A meta-analysis yielded better postoperative outcomes for DMEK in terms of best corrected visual acuity (BCVA), patient satisfaction and rejection rates.…”

Section: Discussionmentioning

confidence: 96%

Descemet’s membrane endothelial keratoplasty is the predominant keratoplasty procedure in Germany since 2016: a report of the DOG-section cornea and its keratoplasty registry

Flockerzi,

Turner,

Seitz

et al. 2023

Br J Ophthalmol

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Background/aimsThis retrospective multicentric panel study provides absolute numbers, types of and indications for corneal transplantation in Germany from 2011 to 2021 and sets them into the international context.MethodsA questionnaire was sent to the 104 German ophthalmologic surgery departments and 93 (89%) provided their data.ResultsThe number of reported keratoplasties more than doubled from 2011 (n=4474) to 2021 (n=8998). Lamellar keratoplasties (49% posterior (n=2883), 4% anterior (n=231)) surpassed penetrating keratoplasty (PKP, 47%, n=2721) for the first time in 2014. Since 2016, Descemet’s membrane endothelial keratoplasty (DMEK) has become the predominant keratoplasty procedure in Germany. Its number increased by 1.5-fold from 3850 (2016) to 5812 (2021). Main indications in 2021 were Fuchs’ endothelial corneal dystrophy (FECD, 43%), pseudophakic corneal decompensation (12%), repeated keratoplasty (11%), infections (7%), keratoconus (6%) and corneal scarring (4%, others: 9%). The PKP percentage decreased from 70.2% in 2011 (n=3141) to 31.7% in 2021 (n=2853). Descemet’s stripping (automated) endothelial keratoplasties (DSAEKs) decreased to 1% in 2021 (n=74). 98.6% of all posterior lamellar keratoplasties were DMEKs in Germany in 2021. The number of deep anterior lamellar keratoplasties (DALKs) remained comparable from 2011 (n=269) to 2021 (n=251, 2.8%).ConclusionMain indications for corneal transplantation in Germany (2021) were FECD and pseudophakic corneal decompensation. DMEK is by far the predominant corneal transplantation procedure since 2016 followed by PKP, whose absolute number decreased only slightly during the decade from 2011 to 2021. DALK proportions remain low, but stable, whereas DSAEK decreased annually and plays a minor role in Germany.Trial registration numberNCT03381794.

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Section: Discussionmentioning

confidence: 96%