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Dissertation zugänglich unter
URN: urn:nbn:de:gbv:18-59657
URL: http://ediss.sub.uni-hamburg.de/volltexte/2013/5965/


30 Years of Cornea Cultivation : Long-term Experience in a single Eye Bank

30 Jahre Hornhaut : Kultur- Langzeiterfahrungen in einer einzigen Hornhautbank

Eddy, Mau-Thek

Originalveröffentlichung: (2012) Acta opthalmologica
pdf-Format:
 Dokument 1.pdf (862 KB) 


SWD-Schlagwörter: Hornhauttransplantation , Gewebebank , Augenbank
Freie Schlagwörter (Deutsch): Hornhautkultur , Hornhautbank , Keratoplastik , Hornhauttransplantation
Freie Schlagwörter (Englisch): cornea cultivation , eyebank , keratoplasty , corneal transplation
Basisklassifikation: 44.95
Institut: Medizin
DDC-Sachgruppe: Medizin, Gesundheit
Dokumentart: Dissertation
Hauptberichter: Richard, Gisbert (Prof.Dr.)
Sprache: Deutsch
Tag der mündlichen Prüfung: 05.11.2012
Erstellungsjahr: 2012
Publikationsdatum: 05.03.2013
Kurzfassung auf Deutsch: Demographische und historische Analyse der Hamburger Hornhautbank über 30 Jahre
Kurzfassung auf Englisch: Purpose: To evaluate donor demographics, trends in donor tissue procurement and tissue storage over a long period.
Methods: A retrospective, longitudinal, descriptive analysis was undertaken of data from the Hamburg Eye Bank Data Base (HEB-DB) that had been collected between 1981 and 2010. Data on 54 parameters of cornea donors [including clinical history, age, death cause, gender and death-to-explantation interval (DEI)]and of cultivated corneas (endothelial quality and development in culture, cultivation period, microbiological contamination) were retrieved. These data were analysed statistically, focusing on the historical development of the eye bank.
Results: At the time of retrieval (June 2010), the HEB-DB contained data on 10 943 corneas (5503 donors). Most donors were men (65%) and had died
from cardiopulmonary (n = 801) ⁄ cerebral (n = 261) failure or as the result
of a polytraumatic accident ⁄ suicide (n = 602). Within these years, donor age,DEI and storage time increased. The percentage of stored corneas suitable forntransplantation displayed a variable but increasing trend; in 2007, almost 75% of the stored corneas were transplanted. Between 1995 and June 2010, the median microbiological contamination rate was 5.3%. A change in the procurement procedure from enucleation to corneoscleral explantation in 2008 led to a briefly increased contamination rate.
Conclusion: Donor demographic data run parallel to the general demographic development. Our analysis indicates a dynamic development of the eye bank over the last 30 years and emphasizes the need for an active quality management in coping with the challenges of modern eye banking.

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