Corneal transplantation is indicated when corneal disease or injury results in the loss of shape (keratoconus) or clarity of the cornea, usually due to oedema, scarring or protein/lipid deposition. The trends and indications for corneal grafts in New Zealand have changed dramatically over the last 30 years and four major studies from the University of Auckland (UoA) have highlighted the changing environment of corneal transplantation in New Zealand1-4. Aotearoa New Zealand has a somewhat unique pattern of corneal transplantation due to the relatively high prevalence of keratoconus. This, combined with our ageing population and major advances in keratoplasty techniques, has resulted in a rapidly evolving pattern of corneal transplantation.
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