{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:41:07Z","timestamp":1787071267387,"version":"build-2736575974"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare keratoplasty outcomes of domestic versus imported donor corneas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective comparative case series including 193 consecutive endothelial keratoplasty procedures, with 94 procedures (49%) performed using imported corneas (Imported group) and 99 procedures (51%) performed using domestic corneas (Domestic group). The main outcome was graft survival. The secondary outcome was postoperative best-corrected visual acuity (BCVA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Baseline recipient characteristics did not differ significantly between the groups. The mean follow-up time was 12.0 \u00b1 8.2 months. The Domestic group showed an increased preoperative endothelial cell density (2937 \u00b1 333 vs 2810 \u00b1 272 cells\/mm\n                      <jats:sup>2<\/jats:sup>\n                      ), a shorter death-to-preservation time (6.9 \u00b1 5.0 vs 12.5 \u00b1 5.5 hours), and a shorter death-to-transplant time (6.6 \u00b1 2.1 vs 8.9 \u00b1 1.5 hours). The survival probability of domestic corneas at 6, 12, and 24 months was 94%, 91%, and 86%, respectively. The survival probability of imported corneas was 88%, 88%, and 88%, respectively. Survival distribution did not differ significantly between the groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.539). The mean postoperative BCVA was 0.55 \u00b1 0.54 logMAR in the Domestic group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 59) and 0.58 \u00b1 0.60 logMAR in the Imported group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      =58,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.623).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Graft survival rates and visual outcomes did not differ between imported and domestic corneas, despite significant baseline differences, which include preoperative endothelial cell count, death-to-preservation time, and death-to-transplant time. A trend toward higher primary failure rates with imported corneas warrants further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2598_25","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T16:02:04Z","timestamp":1773331324000},"page":"S114-S117","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Endothelial keratoplasty outcomes of domestic versus imported donor corneas"],"prefix":"10.4103","volume":"74","author":[{"given":"Eyal","family":"Cohen","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Tel-Aviv Medical Center, Tel-Aviv, Israel"},{"name":"Gray Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nir","family":"Gomel","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Tel-Aviv Medical Center, 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