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J R Soc Med. 1990 April; 83(4): 245–248.
PMCID: PMC1292612

Penetrating keratoplasty in south east London 1981-1986: epidemiological aspects and demands on medical resources.


We have compared penetrating keratoplasty at a teaching hospital and a district general hospital (DGH). At the teaching hospital, the pathology was similar to previous reports, but at the DGH the patients were older (P less than 0.01) and had a worse prognosis. The vision in the unoperated eye was also frequently poor. The number of postoperative outpatient visits within a hospital was unrelated to the original disease, and there was no statistically significant difference between the two centres. At the DGH, a corneal transplant patient requires the outpatient resources equivalent to three matched cataract patients. The implications for medical manpower requirements are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Morris RJ, Kirkness CM. Emergency presentation of corneal graft patients. Eye (Lond) 1988;2(Pt 1):71–76. [PubMed]
  • Bradley BA. Corneal supply in the United Kingdom. Trans Ophthalmol Soc U K. 1986;105(Pt 4):397–400. [PubMed]
  • Andersen J, Ehlers N. Corneal transplantation using long-term cultured donor material. Acta Ophthalmol (Copenh) 1986 Feb;64(1):93–96. [PubMed]
  • Aquavella JV, John T, Garcia E, Rao GN. Outpatient keratoplasty. Am J Ophthalmol. 1985 Aug 15;100(2):276–280. [PubMed]
  • Sugar A, Meyer RF, Bahn CF. A randomized trial of pressure patching for epithelial defects after keratoplasty. Am J Ophthalmol. 1983 May;95(5):637–640. [PubMed]
  • Heidemann DG, Sugar A, Meyer RF, Musch DC. Oversized donor grafts in penetrating keratoplasty. A randomized trial. Arch Ophthalmol. 1985 Dec;103(12):1807–1811. [PubMed]
  • Bishop VL, Robinson LP, Wechsler AW, Billson FA. Corneal graft survival: a retrospective Australian study. Aust N Z J Ophthalmol. 1986 May;14(2):133–138. [PubMed]
  • Völker-Dieben HJ. The effect of immunological and non-immunological factors on corneal graft survival. A single center study. Doc Ophthalmol. 1984 Apr 16;57(1-2):1–151. [PubMed]
  • Menage MJ, Claoué CM. Severe herpetic keratitis. II. The costs associated with penetrating keratoplasty. J R Soc Med. 1988 Sep;81(9):526–527. [PMC free article] [PubMed]

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