New Zealand trends in corneal transplantation over the 25 years 1991-2015.

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dc.contributor.author Kim, Bia Z
dc.contributor.author Meyer, Jay J
dc.contributor.author Brookes, Nigel H
dc.contributor.author Moffatt, S Louise
dc.contributor.author Twohill, Helen C
dc.contributor.author Pendergrast, David G
dc.contributor.author Sherwin, Trevor
dc.contributor.author McGhee, Charles NJ
dc.coverage.spatial England
dc.date.accessioned 2022-06-12T23:53:44Z
dc.date.available 2022-06-12T23:53:44Z
dc.date.issued 2017-06
dc.identifier.citation (2017). British Journal of Ophthalmology, 101(6), 834-838.
dc.identifier.issn 0007-1161
dc.identifier.uri https://hdl.handle.net/2292/59744
dc.description.abstract <h4>Aims</h4>To report the 25-year longitudinal trends in indications and corneal transplantation techniques in New Zealand.<h4>Methods</h4>Statistical analysis of prospectively acquired New Zealand National Eye Bank (NZNEB) electronic database from 1991 to 2015 inclusive. Subjects were recipients of corneal transplants in 62 centres supplied by the NZNEB. Main outcome measures were indications, recipient age and transplantation techniques.<h4>Results</h4>From January 1991 to December 2015, NZNEB supplied tissue for 5574 corneal transplants, increasing annually from 89 (1991) to 290 (2015). Penetrating keratoplasty remained the most commonly performed technique throughout the 25-year period, although it decreased from 98.9% of all transplants in 1991 to 60.3% in 2015. There was a corresponding increase in deep anterior lamellar and endothelial keratoplasty over the most recent decade from 2.5% to 7.2% and 4.9% to 31.4%, respectively. Keratoconus remained the leading indication for keratoplasty through to 2015 (34.5%). Regrafts (23.1%) and Fuchs endothelial corneal dystrophy (17.0%) have become more common indications, while bullous keratopathy has become less common (10.8%). There was a bimodal distribution in age with peaks at 20-29 and 60-79 years. There was a reduction in recipients under age 40 and corresponding increase in the percentage of recipients aged 40-69.<h4>Conclusion</h4>Changing indications and increasing uptake of lamellar keratoplasty have been significant international trends over the last 25 years. However, New Zealand's corneal disease and population characteristics create unique longitudinal trends, with keratoconus remaining the leading indication and penetrating keratoplasty the leading technique from 1991 to 2015.
dc.format.medium Print-Electronic
dc.language eng
dc.publisher BMJ
dc.relation.ispartofseries The British journal of ophthalmology
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm
dc.subject Humans
dc.subject Corneal Diseases
dc.subject Corneal Transplantation
dc.subject Morbidity
dc.subject Prospective Studies
dc.subject Forecasting
dc.subject Adolescent
dc.subject Adult
dc.subject Aged
dc.subject Aged, 80 and over
dc.subject Middle Aged
dc.subject Child
dc.subject Child, Preschool
dc.subject Infant
dc.subject Eye Banks
dc.subject New Zealand
dc.subject Female
dc.subject Male
dc.subject Young Adult
dc.subject Cornea
dc.subject Epidemiology
dc.subject Eye (Tissue) Banking
dc.subject Treatment Surgery
dc.subject Eye Disease and Disorders of Vision
dc.subject Transplantation
dc.subject Science & Technology
dc.subject Life Sciences & Biomedicine
dc.subject Ophthalmology
dc.subject NATIONAL EYE BANK
dc.subject PENETRATING KERATOPLASTY
dc.subject SURGICAL TECHNIQUES
dc.subject CHANGING TRENDS
dc.subject KERATOCONUS
dc.subject LAMELLAR
dc.subject 1113 Opthalmology and Optometry
dc.subject 1103 Clinical Sciences
dc.subject 1117 Public Health and Health Services
dc.title New Zealand trends in corneal transplantation over the 25 years 1991-2015.
dc.type Journal Article
dc.identifier.doi 10.1136/bjophthalmol-2016-309021
pubs.issue 6
pubs.begin-page 834
pubs.volume 101
dc.date.updated 2022-05-10T02:27:05Z
dc.rights.holder Copyright: The author en
dc.identifier.pmid 27635063 (pubmed)
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/27635063
pubs.end-page 838
pubs.publication-status Published
dc.rights.accessrights http://purl.org/eprint/accessRights/RetrictedAccess en
pubs.subtype Research Support, Non-U.S. Gov't
pubs.subtype Multicenter Study
pubs.subtype Journal Article
pubs.elements-id 542066
pubs.org-id Medical and Health Sciences
pubs.org-id School of Medicine
pubs.org-id Ophthalmology Department
dc.identifier.eissn 1468-2079
dc.identifier.pii bjophthalmol-2016-309021
pubs.record-created-at-source-date 2022-05-10
pubs.online-publication-date 2016-09-15


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