Outcomes of corneal transplantation in Australia, in an era of lamellar keratoplasty

• DOI: 10.1111/ceo.14089
• Publication Date: 2022-04-30T05:35:06Z
• Authors: Keryn A. Williams; Miriam C. Keane
• Keywords: Corneal dystrophy; Dystrophy; Corneal Transplant; Visual rehabilitation

Widespread adoption of modern lamellar procedures has altered the pattern practice corneal transplantation. Herein, we describe recent findings from Australian Corneal Graft Registry and place these data into an international context. The total number grafts reported to doubled over past decade. Deep anterior keratoplasty is increasingly used for keratoconus, while endokeratoplasty displaced penetrating Fuchs endothelial dystrophy. survival visual outcomes have shown improvement time. First deep keratoconus show comparable long-term best-corrected acuity equivalent. Penetrating dystrophy exhibit significantly better than do endokeratoplasties, largely because latter undergo more early graft failures. However, rehabilitation swifter in surviving endokeratoplasties. Significantly fewer recipients a or require spectacle contact lens correction, compared with keratoplasty.