Abstract：
OBJECTIVE: To show donation data, number of keratoplasties and the changes in transplant indications and techniques that occurred in Andalusia in the period from 2013 to 2022.
METHODS: The present work is a retrospective and descriptive study that included all keratoplasties performed between January 2013 and December 2022 in Andalusia, as well as the evolution of the cornea donation and transplant activity of the public and private hospitals pertaining to the waiting list management system of the Public Health System of Andalusia. Transplants performed in private centers with corneas from outside Andalusia were excluded.
RESULTS: Cornea donation activity in Andalusia in the decade 2013-2022 has experienced a growth of more than 126%, while overall transplant activity has increased by 157% in public hospitals. Penetrating keratoplasty has decreased from 83% in 2013 to 43% in 2022, while lamellar techniques have increased from 17% to 57% in this same period. Since 2018, more lamellar transplants are performed than penetrating transplants. Regarding indications, endothelial conditions already represent the first cause of transplantation. In 2022 alone, the public Andalusian Eye Banks evaluated 1,054 corneas and prepared 281 endothelial grafts.
CONCLUSIONS: In the decade from 2013 to 2022 in Andalusia there has been an increase in donation activity and the number of keratoplasties. The public Eye Banks implementation in this period has played a key role in the widespread adoption of lamellar keratoplasty techniques and has enabled the transition to perform a greater number of lamellar keratoplasties compared to penetrating keratoplasty.
METHODS: The present work is a retrospective and descriptive study that included all keratoplasties performed between January 2013 and December 2022 in Andalusia, as well as the evolution of the cornea donation and transplant activity of the public and private hospitals pertaining to the waiting list management system of the Public Health System of Andalusia. Transplants performed in private centers with corneas from outside Andalusia were excluded.
RESULTS: Cornea donation activity in Andalusia in the decade 2013-2022 has experienced a growth of more than 126%, while overall transplant activity has increased by 157% in public hospitals. Penetrating keratoplasty has decreased from 83% in 2013 to 43% in 2022, while lamellar techniques have increased from 17% to 57% in this same period. Since 2018, more lamellar transplants are performed than penetrating transplants. Regarding indications, endothelial conditions already represent the first cause of transplantation. In 2022 alone, the public Andalusian Eye Banks evaluated 1,054 corneas and prepared 281 endothelial grafts.
CONCLUSIONS: In the decade from 2013 to 2022 in Andalusia there has been an increase in donation activity and the number of keratoplasties. The public Eye Banks implementation in this period has played a key role in the widespread adoption of lamellar keratoplasty techniques and has enabled the transition to perform a greater number of lamellar keratoplasties compared to penetrating keratoplasty.
摘要：
目的：为了显示捐赠数据，2013年至2022年期间在安达卢西亚发生的角膜成形术数量以及移植适应症和技术的变化。
方法：目前的工作是一项回顾性和描述性研究，包括2013年1月至2022年12月在安达卢西亚进行的所有角膜成形术，以及与安达卢西亚公共卫生系统候补名单管理系统有关的公立和私立医院角膜捐赠和移植活动的演变。排除了在安达卢西亚以外的角膜私人中心进行的移植。
结果：安达卢西亚的角膜捐赠活动在2013-2022年十年中经历了超过126％的增长，而公立医院的整体移植活动增加了157%。穿透性角膜移植术从2013年的83％下降到2022年的43％，而同期的层状技术从17％增加到57％。自2018年以来，进行的层状移植比穿透移植更多。关于适应症，内皮疾病已经成为移植的首要原因.仅在2022年，公众安达卢西亚眼库评估了1,054个角膜，并准备了281个内皮移植物。
结论：在2013年至2022年的十年中，安达卢西亚的捐赠活动和角膜成形术的数量有所增加。在此期间，公共眼库的实施在广泛采用板层角膜移植术技术中发挥了关键作用，并且与穿透性角膜移植术相比，过渡到可以进行更多的板层角膜移植术。
方法：目前的工作是一项回顾性和描述性研究，包括2013年1月至2022年12月在安达卢西亚进行的所有角膜成形术，以及与安达卢西亚公共卫生系统候补名单管理系统有关的公立和私立医院角膜捐赠和移植活动的演变。排除了在安达卢西亚以外的角膜私人中心进行的移植。
结果：安达卢西亚的角膜捐赠活动在2013-2022年十年中经历了超过126％的增长，而公立医院的整体移植活动增加了157%。穿透性角膜移植术从2013年的83％下降到2022年的43％，而同期的层状技术从17％增加到57％。自2018年以来，进行的层状移植比穿透移植更多。关于适应症，内皮疾病已经成为移植的首要原因.仅在2022年，公众安达卢西亚眼库评估了1,054个角膜，并准备了281个内皮移植物。
结论：在2013年至2022年的十年中，安达卢西亚的捐赠活动和角膜成形术的数量有所增加。在此期间，公共眼库的实施在广泛采用板层角膜移植术技术中发挥了关键作用，并且与穿透性角膜移植术相比，过渡到可以进行更多的板层角膜移植术。
