June 2023
Volume 64, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2023
Demographics of Keratoplasty Patients at an Urban Academic Optometry Clinic
Author Affiliations & Notes
  • Ria Samir Patel
    Illinois College of Optometry, Chicago, Illinois, United States
  • Jennifer S Harthan
    Illinois College of Optometry, Chicago, Illinois, United States
  • Lindsay Sicks
    Illinois College of Optometry, Chicago, Illinois, United States
  • Footnotes
    Commercial Relationships   Ria Patel None; Jennifer Harthan None; Lindsay Sicks None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2023, Vol.64, 4786. doi:
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      Ria Samir Patel, Jennifer S Harthan, Lindsay Sicks; Demographics of Keratoplasty Patients at an Urban Academic Optometry Clinic. Invest. Ophthalmol. Vis. Sci. 2023;64(8):4786.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Keratoplasty procedures are complex and require regular clinical follow-up care to prevent corneal transplant rejection. Providers are tasked with monitoring for post-operative complications and educating patients on the importance of adherence to treatment plans including follow-up care, prescribing medication, and assisting with obtaining proper vision correction. Demographic analysis of patients receiving corneal transplants can help clinicians more effectively target patient outreach efforts regarding adherence to follow-up care.

Methods : A retrospective chart review of patients seen at an urban academic optometry clinic, the Illinois Eye Institute (IEI) in Chicago, Illinois, between 2011 and 2022 who reported receiving a corneal transplant was done. Two common types of corneal transplant/keratoplasty procedures were observed: deep anterior lamellar keratoplasty (DALK) and penetrating keratoplasty (PKP).

Results : The IEI provides eye care to an average of 50,000-60,000 patients annually. Over the ten-year study period, the clinic examined 49 patients with keratoplasty, with 69 total corneal transplants (surgery performed between 1989-2022). The median age was 50.96 ±13.27 (range 24-76) with 59.18% male. Most patients identified as Black/African American (55.10%), followed by Hispanic or Latino (36.73%), Caucasian (6.12%), and Asian (2.04%). This differs from the overall demographics of Chicago; Black/African American (29.2%), followed by Hispanic or Latino (28.6%), Caucasian (47.7%), and Asian (6.8%). This may be due to the ethnic diversity on the south side of Chicago or a general difference in the city’s transplant recipients. Most patients held private insurance (65.31%), while the rest used Medicare/Medicaid benefits (22.45%) or paid out of pocket (12.24%) for their examinations. The most common post-keratoplasty procedure observed was PKP (95.65%). The most prevalent indication for keratoplasty was corneal ectasia/keratoconus (97.10%).

Conclusions : Keratoplasty patients that seek follow-up care at our urban academic optometry clinic tend to be Black/African American, have keratoconus, undergo PKP, and have private insurance. Understanding the indications of today’s keratoplasty patient population improves quality of care and provides the framework for further research on post-operative complications and visual recovery.

This abstract was presented at the 2023 ARVO Annual Meeting, held in New Orleans, LA, April 23-27, 2023.

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