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Chapter-61 Postoperative Management of Lamellar Keratoplasty: Optical and Tectonic

BOOK TITLE: Surgical Techniques in Anterior and Posterior Lamellar Corneal Surgery

Author
1. Koizumi Noriko
2. Kinoshita Shigeru
ISBN
9788180616051
DOI
10.5005/jp/books/10883_61
Edition
1/e
Publishing Year
2006
Pages
9
Author Affiliations
1. Research Center for Regenerative Medicine, Office for Research Initiatives and Development Doshisha University, Kyoto, Japan, Doshisha University, Kyoto City, Japan
2. Kyoto Prefectural University of Medicine Kyoto, Japan, Kyoto Prefectural University of Medicine, Kyoto City, Japan
Chapter keywords

Abstract

Lamellar keratoplasty (LKP) is an operation in which diseased corneal tissue is removed and replaced by lamellar corneal tissue from a donor. The procedure is performed either to improve vision (optical keratoplasty) or to provide structural support for the cornea (tectonic keratoplasty). Anterior LKP (ALKP) can be performed to replace a portion of the corneal thickness when the endothelium is healthy. Depending on the location of the corneal abnormality, it may be sufficient to replace just the anterior layers by performing an ALKP or the full-thickness corneal stroma without the endothelium by performing a deep lamellar keratoplasty (DLK) which is also an ALKP pro­cedure. Postoperative care that includes appropriate immunosuppressive therapy often affects the results of optical keratoplasty and tectonic keratoplasty. In this chapter, we also discuss the postoperative management of a keratolimbal allograft, a form of LKP with stem cell transplantation.

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