Review Article

Risk Factors for Endothelial Decompensation after Penetrating Keratoplasty and Its Novel Therapeutic Strategies

Table 1

Studies on 10-year graft survival of PKP.

StudySample size10-year survival rate (%)Indication (N)Follow-up time

Lass et al. [3]109074.5Fuchs dystrophy (676)10 years
Pseudophakic or aphakic
Corneal edema (PACE) (369)

Williams et al. [4]1629189Keratoconus (6249)<1 year (24%)
37Bullous keratopathy (4338)1–6 years (58%)
36Failed previous graft (4227)6–12 years (14%)
66Corneal dystrophy (2156)12–18 years (4%)
>18 years (1%)

Kelly et al. [5]483489Keratoconus (4834)23 years

Anshu et al. [6]90190.7Keratoconus (87)36.8 ± 35.5 months.
20.0Fuchs’ endothelial dystrophy (64)
33.5Pseudophakic/aphakic bullous keratopathy (211)
Regraft (112)

Sugar et al. [7]109080Fuchs dystrophy (676)12 years
63Pseudophakic or aphakic corneal edema (PACE) (369)

Patel et al. [8]38880Fuchs dystrophy (108)20 years
Keratoconus (83)
Pseudophakic corneal edema (73)
Aphakic corneal edema (68)

Borderie et al. [9]114464.4Keratoconus (258)40.5 ± 32.1 months
Bullous keratopathy (449)
Endothelial dystrophies (121)
Regraft (87)

Williams et al. [10]1095262KeratoconusUp to 15 years (mean follow-up time is not available)
Regraft
Dystrophy
Aphakic bullous keratopathy
Pseudophakic bullous keratopathy (ratios are not available)

Inoue et al. [11]27179.3Keratoconus (64)46.5 ± 35.1 months
Bullous keratopathy (55)
Nonherpetic keratitis (49)
Graft failure (39)
Herpes keratitis (38)
Corneal dystrophies and degenerations (20)
Chemical burns (6)

Thompson et al. [12]399282Primary grafts (3640)43 ± 34 months
92Keratoconus (449)
90Fuchs’ dystrophy (908)
41Regraft (352)

Inoue et al. [13]39672.2Overall (396)46.6 ± 30.4 months
98.8Keratoconus (82)
76.9Corneal dystrophy (26)
61.8Regraft (68)
51.1Bullous keratopathy (94)

Data from the same group and same research population (Cornea Donor Study).