Clinical and epidemiological aspects of cornea transplant patients of a reference hospital.
Giovanna Karinny Pereira Cruz, Isabelle Campos de Azevedo, Diana Paula de Souza Rego Pinto Carvalho and 3 others
PMID 28614429WHAT IT FOUND
Keratoconus was the leading cornea transplant diagnosis.
Endothelial disease clustered with older age, glaucoma, prior surgery and graft failure, and elective waiting time was long.
Key findings
01Keratoconus was the most common ocular diagnosis at 26.36%, followed by interstitial keratitis at 22.48% and bullous keratopathy at 20.93%.
02Endothelial corneal disorder was associated with age greater than 60 years, previous surgery, previous graft failure, pseudophakic or aphakic eye classification, and glaucoma.
03The average waiting time for cornea transplant was 127.19 days overall, with elective surgery waiting 172.63 days and emergency surgery waiting 9.03 days.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done at a single reference hospital, so its profile may not match other services. Data came from records after surgery, and incomplete or missing records were excluded, which can miss patients and details. The design was cross-sectional and descriptive, so it can show associations but cannot prove cause or show that care changes outcomes. The paper did not report graft survival, complications over time, or nursing care outcomes. Some variables had missing data in the tables.
The easy way to misread this
Do not read the associations as proof that glaucoma, prior surgery or graft failure cause endothelial disease. This was a cross-sectional record review at a single hospital, and it did not test treatment or nursing care.