PLoS ONE (Jan 2020)

Survey report on keratoplasty in China: A 5-year review from 2014 to 2018.

  • Hua Gao,
  • Ting Huang,
  • Zhiqiang Pan,
  • Jie Wu,
  • Jianjiang Xu,
  • Jing Hong,
  • Wei Chen,
  • Huping Wu,
  • Qian Kang,
  • Lei Zhu,
  • Lingling Fu,
  • Liqiang Wang,
  • Guigang Li,
  • Zhihong Deng,
  • Hong Zhang,
  • Hui Xu,
  • Qingliang Zhao,
  • Hongshan Liu,
  • Linnong Wang,
  • Baihua Chen,
  • Xiuming Jin,
  • Minghai Huang,
  • Jizhong Yang,
  • Minghong Gao,
  • Wentian Zhou,
  • Hanping Xie,
  • Yao Fu,
  • Feng Wen,
  • Changbo Fu,
  • Shaozhen Zhao,
  • Yanning Yang,
  • Yanjiang Fu,
  • Tao Yao,
  • Chaoqing Wang,
  • Xiaonan Sun,
  • Xiaowei Gao,
  • Maimaitiming Reziwan,
  • Yingping Deng,
  • Jian Li,
  • Limei Liu,
  • Bo Zeng,
  • Lianyun Bao,
  • Hua Wang,
  • Lijun Zhang,
  • Zhiyuan Li,
  • Zhijian Yin,
  • Yuechun Wen,
  • Xiao Zheng,
  • Liqun Du,
  • Zhenping Huang,
  • Xunlun Sheng,
  • Hui Zhang,
  • Lizhong Chen,
  • Xiaoming Yan,
  • Xiaowei Liu,
  • Wenhui Liu,
  • Yuan Liu,
  • Liang Liang,
  • Pengcheng Wu,
  • Lijun Qu,
  • Jinkui Cheng,
  • Hua Zhang,
  • Qige Qi,
  • Yangkyi Tseten,
  • Jianping Ji,
  • Jin Yuan,
  • Ying Jie,
  • Jun Xiang,
  • Yifei Huang,
  • Yuli Yang,
  • Ying Li,
  • Yiyi Hou,
  • Tong Liu,
  • Lixin Xie,
  • Weiyun Shi

DOI
https://doi.org/10.1371/journal.pone.0239939
Journal volume & issue
Vol. 15, no. 10
p. e0239939

Abstract

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To provide the general information on corneal transplantation (CT) in China, China Cornea Society designed a questionnaire on CT from 2014 to 2018 and entrusted it to 31 committee members for implementation of the survey nationwide. This article presents the results of the survey and compares the indicators used in the survey and those in the annual statistical report released by the Eye Bank Association of America (EBAA). The number of corneal transplantations completed by the 64 hospitals from 2014 to 2018 was respectively 5377, 6394, 7595, 8270 and 8980, totally 36,616 (22,959 male and 13,657 female). The five largest hospitals by the number of corneal transplantations completed 15,994 surgeries in total, accounting for 43.68% of all the surgeries performed in the 64 hospitals. The most common indication for corneal transplantations was corneal leukoma (7683, 20.98%), followed by bacterial keratitis (4209, 11.49%), corneal dystrophies (4189, 11.44%), keratoconus (3578, 9.77%) and corneal perforation (2839, 7.75%). The main surgical techniques were penetrating keratoplasty (PK) (19,896, 54.34%), anterior lamellar keratoplasty (ALK) (13,869, 37.88%). The proportion of PK decreased from 57.97% in 2014 to 52.88% in 2018 while the proportion of ALK increased from 36.04% in 2014 to 37.92% in 2018. The geographical distribution of keratoplasties performed in China is unbalanced. PK and ALK were the main techniques of CT and corneal leukoma, bacterial keratitis and corneal dystrophies were the main indications for CT in China.