{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:16:39Z","timestamp":1787836599726,"version":"build-2784847793"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To report the types of keratoplasty and analyze trends over a period of two decades in central and northern India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a retrospective review of eye bank registries of six tertiary eye care centers located in central and north India from 2005 to 2021. The indications and various keratoplasty procedures were compared between 2005\u20132012 and 2013\u20132021 to analyze the trend.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 13,223 corneal grafts were performed, of which therapeutic penetrating keratoplasty (TPK) (5719, 43.3%) was the most common procedure, followed by optical penetrating keratoplasty (OPK) (5528, 41.8%), Descemet stripping endothelial keratoplasty (DSEK) (1279, 9.7%), deep anterior lamellar keratoplasty (DALK) (376, 2.8%), Descemet membrane endothelial keratoplasty (DMEK) (215, 1.6%), patch grafts (75, 0.6%), and keratoprostheses (31, 0.2%). Overall, OPK procedures decreased (\u221214.1%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), but TPK (+3.1%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.019), DSEK (+7.1%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), and DMEK (+1.9%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) procedures increased. Although there was an increasing trend in the use of DALK (+0.8%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.083) and keratoprostheses (+0.3%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.074) procedures, the trends were not statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In keeping with worldwide trends, an increasing trend in lamellar keratoplasties was observed in central and northern India during the past decade. The trend was significant for DSEK. However, as corneal ulcers and scars were the major indications for keratoplasty, TPK and OPK remained the most common procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_724_23","type":"journal-article","created":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T11:00:05Z","timestamp":1703761205000},"page":"831-837","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Trends in keratoplasty from central and northern India. Part II: Types of keratoplasty"],"prefix":"10.4103","volume":"72","author":[{"given":"Samrat","family":"Chatterjee","sequence":"first","affiliation":[{"name":"Department of Cornea and Anterior Segment, MGM Eye Institute, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautam Singh","family":"Parmar","sequence":"additional","affiliation":[{"name":"Department of Cornea and Refractive Surgery, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Kapur","sequence":"additional","affiliation":[{"name":"Department of Cornea and Anterior Segment, Dr Shroff\u2019s Charity Eye Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharad Nivruti","family":"Gomase","sequence":"additional","affiliation":[{"name":"Department of Cornea and Anterior Segment, MGM Eye Institute, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashi","family":"Khurana","sequence":"additional","affiliation":[{"name":"Department of Cornea and Anterior Segment, CL Gupta Eye Institute, Moradabad, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant","family":"Borde","sequence":"additional","affiliation":[{"name":"Department of Cornea and Refractive Surgery, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manisha","family":"Acharya","sequence":"additional","affiliation":[{"name":"Department of Cornea and Anterior Segment, Dr Shroff\u2019s Charity Eye Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virendra","family":"Sangwan","sequence":"additional","affiliation":[{"name":"Department of Cornea and Anterior Segment, Dr Shroff\u2019s Charity Eye Hospital, New Delhi, 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