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        전층각막이식수술 후 10년 경과 관찰

        이승재,조은영,김만수.Seung Jae Lee. M.D.. Eun Young Cho. M.D.. Man Soo Kim. M.D. 대한안과학회 2006 대한안과학회지 Vol.47 No.7

        Purpose: To evaluate clinical outcomes 10 years after penetrating keratoplasty. Methods: We analyzed 69 eyes of 68 patients who had undergone penetrating keratoplasty by one surgeon between 1994 and 1995. We evaluated long-term outcome of corneal graft and follow-up rates for 10 years after surgery. Slitlamp biomicroscopy was performed to assess the condition of grafts. Visual acuity, manifest refraction, central corneal thickness, and endothelial cell count were measured if the patient visited the clinic. The patients who did not visit the clinic were asked to subjectively assess visual acuity and gross corneal clarity to gauge the condition of the graft cornea by telephone survey. Results: The mean age was 42.5 years and the sex distribution of recipients was predominantly male (M:F=48:20). At 10 years after surgery, 28 grafts were clear, 28 grafts were known to have failed, and the status of 13 grafts remained unknown. The highest survival rate was noted in keratoconus, and the major preoperative diseases of graft failure were bullous keratopathy and infectious keratitis. Fifty percent of patients attended all follow-up visits over the 10 years. Conclusions: The graft survival rate at 10 years after keratoplasty was 50%.

      • KCI등재후보

        국립장기이식센터 설립 전후의 각막이식 실태

        조은영,김만수.Eun Young Cho. M.D.. Man Soo Kim. M.D. 대한안과학회 2006 대한안과학회지 Vol.47 No.4

        Purpose: This study was performed to evaluate the status of corneal transplantation in Korea over the last 6 years. Methods: We evaluated the current status of domestic corneal transplantation using the data obtained from Korean Network for Organ Sharing (KONOS). We evaluated imported corneal transplantation by the number of corneal transplantations, the country of origin of imported cornea, the preserved state of corneas, the time from the death to transplantation and the result of corneal transplantation. The imported corneal transplantation data was obtained from the institution registered in KONOS and the institution recognized by the authers. Results: The number of domestic cornea donations has not increased since 2000, but the number of transplantations using imported corneas has increased year by year. The quality of imported corneas was good. There was no difference in operation results when domestic corneas were used compared to the use of imported corneas from the USA, Australia or Sri Lanka. Conclusions: The increased use of imported corneas results of a deficiency in the number of domestic cornea donations. Social motivation should be used to increase domestic donations of corneas.

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