[Trends in the indications for penetrating keratoplasty].
OBJECTIVE
To identify the indications for penetrating keratoplasty at the Department of Ophthalmology of the Santa Casa of São Paulo from January 1996 to December 2005 and to compare them with those from January 1991 to December 1995.


METHODS
Charts of patients who had undergone penetrating keratoplasty from January 1996 to December 2006 were retrospectively reviewed.


RESULTS
There were 587 keratoplasties done in this period. The average age of patients was 49.6 +/- 21.1 years (range 1 to 91 years). The most common indications were infectious keratitis (17.9%), trauma (16%), pseudophakic bullous keratopathy (14.7%), keratoconus (13.1%), regrafts (12.8%) and herpetic keratitis (6.6%).


CONCLUSIONS
The leading indications for penetrating keratoplasty were infectious keratitis, trauma, bullous keratopathy, herpetic keratitis. There was a decreasing trend in penetrating keratoplasty for keratoconus and regraft during the last 10 years.
Sano
Fabiana Tiemi
FT
Departamento de Oftalmologia, Santa Casa de São Paulo, São Paulo, SP, Brasil. fabianasano@hotmail.com
Dantas
Paulo Elias Correa
PE
Silvino
Wilmar Roberto
WR
Sanchez
Janaina Zamuner
JZ
Sano
Ronaldo Yuiti
RY
Adams
Fabio
F
Nishiwaki-Dantas
Maria Cristina
MC
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D002675:Child, Preschool; D003316:Corneal Diseases / Q000453:epidemiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D015948:Keratoplasty, Penetrating / Q000706:statistics & numerical data / Q000639:trends*; D008297:Male; D008875:Middle Aged; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D055815:Young Adult