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We conducted a study using a retrospective cohort methodology. Medicare carrier claims data from 2011 to 2020 revealed beneficiaries aged 65 and over who experienced endothelial keratoplasty (EK) followed by an early regraft. To determine the rate of early regraft for each year, a calculation was executed, and a multivariable regression analysis explored the relationship of this outcome to patient and surgeon characteristics. Out of 114,383