[PDF]Changing indications for Keratoplasty 2005 - 2009 - Rackcdn.com367c6d894dcc3819de9b-be38adc8b929036a793b521054b93816.r34.cf1.rackcdn.co...
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Woodford S Van Meter, MD Professor of Ophthalmology University of Kentucky Lexington, KY
No relevant financial relationships to disclose
In 2001, there were 94 member eye banks in the Eye Bank Association of America (EBAA) reporting data 79 eye banks in 2011, new one in FL in 2012 In 2012, there were 80 member eye banks and 9 international eye banks 80 US banks included data reported separately from 4 satellite eye banks There are an estimated 35 eye banks that are not EBAA members outside US serving African, European, Pan-American, and Asian surgeons
Prior to 2004, all grafts (lamellar and penetrating) were reported under the heading “corneal grafts”.
In 2005, 1) anterior lamellar keratoplasty (ALK), 2) endothelial keratoplasty (EK) and 3) keratolimbal allograft (KLA) were split as separate keratoplasty procedures
Year 2012* 2011* 2010 2009 2008 2007
US provided 68,681 67,590 59,271 59,784 52,487 50,122
Used in US 46,684 46,196 42,642 42,606 41,652 39,391
* Totals include long term preserved tissue
Used Intl 21,997 21,394 16,629 17,178 10,835 10,731
Intl provided 3270 5813 4758 4645 4617 4283
Total 71,951 73,403 64,029 64,429 57,104 54,405
Date
2012
2011
2010
2009
2008
Total Grafts
68,681
67,590
59,271
59,784
52,487
Penetrating
36,716
36,144
21,970
23,493
32,524
1,855
1,778
1,041
774
1,072
24,277
23,287
19,159
18,221
17,468
K LA
97
95
130
120
173
K-Pro
263
358
342
222
ALK EK
Date
2012
2011
2010
2009
2008
2007
Total Grafts
3270
5813
4758
4645
4617
4283
Penetrating
1246
2460
2931
3088
3194
3517
ALK
122
169
282
328
374
324
EK
1271
2293
1540
1112
786
416
Indication* * 1. Fuchs’ 2. Corneal edema 3. Keratoconus 4. Repeat Graft 5. Opacities Unknown Totals
Total 13,107 (19.1%) 12,476 (18.2%) 7,455 (10.9%) 6,578 3,945
PK 1,400 4,801 6,650 4,460 3,795
EK 11,707 7,675 2,089 -
ALK 805 29 150
13,869 (16.8%)
9,765
3,554
550
36,716
24,277
1,855
68,681
Calculations using denominator 68,681 US grafts
1.
2.
3.
Statistics are only as good as eye banks (and surgeons) submit, so please complete eye bank forms after keratoplasty procedures! Overall total keratoplasty numbers flat in 2012, increased 2% (67,590 to 68,681) from 2011. PK increased 1.6% (36,144 to 36,716) in 2012 65% increase in 2011. Long term tissue? Stat format?
4. 5. 6.
EK for Fuchs’ in 88% of cases 89% in 2011, 85% in 2010 EK for corneal edema in 62% of cases 56% in 2011 PK for KC in 89% of cases ALK 91% in 2011
Total EK DSEK, DSAEK DMEK, DMAEK
2012
2011
23,049
21,555
22,301
96.8%
21,211
98.4%
748
3.2%
344
1.6%
2011
2012
1. Tissue used for ALK:
1778
1855 (4.3%)
2. Total keratoconus grafts 3. ALK for keratoconus 4. PK for keratoconus
8071 740 7331
7455 (-7.6%) 805 (8.8%) 6650 (-9.3%)
5. In 2012, 65 more ALK procedures for KC than 2011 6. In 2012, 681 fewer PK procedures for KC than 2011 7. In 2011 ALK in 9.2% of KC, in 2012 ALK in 10.8%
