This research proposes a program of clinical investigation and epidemiology that involves postgraduate research and training. The project is centered on a population-based case-control study, nested in a national surveillance registry, which addresses the problem of infection following corneal surgery. Using data from a cohort operated between 1991 and 2004, approximately 250 reported incident cases of postkeratoplasty endophthalmitis will form the study population. At a ratio of 2 controls of each case, matched on date of surgery, approximately 500 individuals will be randomly selected from corneal transplant procedures using donor corneas distributed by US eye banks during this same period. Data will be collected to examine the effect of the duration of donor corneal storage in preservation medium on the risk of endophthalmitis and to explore the possible role of other risk factors, including demographic characteristics and eye-banking variables. Regression analyses will include calculation of relative effect measures with confidence intervals using multivariable modeling that evaluates the relative importance of selected variables while adjusting for cofounders and effect modifiers.

Agency
National Institute of Health (NIH)
Institute
National Eye Institute (NEI)
Type
Postdoctoral Individual National Research Service Award (F32)
Project #
5F32EY016631-02
Application #
7046753
Study Section
Special Emphasis Panel (ZRG1-HOP-N (90))
Program Officer
Kurinij, Natalie
Project Start
2005-02-28
Project End
2007-02-27
Budget Start
2006-02-28
Budget End
2007-02-27
Support Year
2
Fiscal Year
2006
Total Cost
$48,796
Indirect Cost
Name
Baylor College of Medicine
Department
Ophthalmology
Type
Schools of Medicine
DUNS #
051113330
City
Houston
State
TX
Country
United States
Zip Code
77030
Hassan, Sohela S; Wilhelmus, Kirk R; Dahl, Patricia et al. (2008) Infectious disease risk factors of corneal graft donors. Arch Ophthalmol 126:235-9
Hassan, Sohela S; Wilhelmus, Kirk R (2007) Quality assessment and microbiologic screening of donor corneas. Cornea 26:953-5
Wilhelmus, Kirk R; Hassan, Sohela S (2007) The prognostic role of donor corneoscleral rim cultures in corneal transplantation. Ophthalmology 114:440-5
Hassan, Sohela S; Wilhelmus, Kirk R (2006) Ecologic effects on eye banking. Am J Ophthalmol 142:1062-4