Abstract
Objective: To determine the frequency of corneal transplantations in the Czech Republic in 2012, the percentage representations of the different types of surgeries and main indications for corneal transplantation. Methodology: All clinics performing the corneal transplantations were asked to complete a questionnaire about the number of corneal transplants, types of surgeries and indications for such procedures.
The obtained data were compared with the annual report of corneal banks for the year 2012. Results: Data for 465 transplantations were analyzed, it represents 92, 8 % of all corneas issued by the corneal tissue banks.
The most common indication for corneal transplantation (regardless of type) was bullous keratopathy (40 % of cases), then keratoconus and other ectatic diseases (19,1 %) and endothelial dystrophy (16,1 %). The most common type of translation was penetrating keratoplasty (50,75 %), then posterior lamellar keratoplasty (44, 95 %) and anterior lamellar keratoplasty (4,3 %).
Conclusion: Acquired data confirm increasing proportion of lamellar transplantations among all corneal keratoplasties, especially posterior lamellar keratoplasty. This approach probably affects indications, for which keratoplasties are made.
Keratoplasties are indicated significantly due to endothelial corneal dystrophies such as bullous keratopathy and other endothelial dystrophies. Keratoconus represents approximately 20 % of indications to corneal transplantation.