Anterior and Posterior Lamellar Keratoplasty

by Thomas John

Step by Step Anterior and Posterior Lamellar Keratoplasty covers both anterior and posterior lamellar surgical techniques in a useful, concise, easy-to-carry around book, with intraoperative color photographs. Chapter 1 covers classification of lamellar corneal surgery. There are several overlapping terminologies in the published, peer-reviewed journals, many of which pertain to the same surgical procedure. Chapter 2 provides coverage of the popular “big-bubble” technique, where corneal intrastromal air is used to create a big air bubble within the cornea to assist the surgeon in performing deep anterior lamellar keratoplasty. Other important surgical techniques in performing anterior lamellar keratoplasty are covered. These include the use of fluid in chapter 3, divide and conquer technique in chapter 4, use of viscoelastic material in chapter 5, and a combination of dye such as indocyanine green and fluid in a pattern of forced hydrodissection technique to perform total anterior lamellar keratoplasty. Chapter 7 describes the use of microkeratome for lamellar keratoplasty. Chapters 8 and 9, move the focus from anterior to posterior cornea, and cover the current advances in corneal endothelial surgery, namely, posterior lamellar keratoplasty (PLK). Chapter 8 describes deep lamellar endothelial keratoplasty (DLEK), while the next chapter describes descemetorhexis with endokeratoplasty (DXEK). Although, DLEK sparked new interest in otherwise dormant keratoplasty techniques, it demanded the creation of an intrastromal pocket without any perforations. With the introduction of DXEK, there is no longer a need to create the intrastromal pocket, which has been a welcome addition to the newer PLK techniques. Pterygium surgery is always of great interest to both general ophthalmologists and cornea specialists. Chapter 10 describes the use lamellar keratoplasty technique in the management of recurrent pterygium. Yet another important management issue facing ophthalmologists is the patient with a corneal perforation. Chapter 11 describes deep lamellar keratoplasty technique in the management of corneal perforation. Such a procedure may be more useful than performing a full-thickness PKP when the eye is inflamed. Surgical management of Terrien’s marginal degene­ration, pellucid marginal degeneration and Mooren’s ulcer are covered in chapters 12, 13, and 14 respectively. These are surgically challenging diseases and the authors present useful surgical techniques when dealing with these conditions. Chapter 15 covers artificial anterior chambers (AAC). A good working knowledge of AAC is essential for any corneal surgeon who wishes to perform lamellar keratoplasty. The various AAC that are currently (at the time of writing) available are included. This step by step approach to lamellar surgical procedures of the human cornea, will serve as a useful book for ophthalmic surgeons all over the world.


Book Detail

Editor Editor's Affiliation
1. John Thomas Loyola University at Chicago, Maywood, Illinois, USA, Cornea Institute of Illinois and Indiana, Tinley Park and Oak Lawn, Illinois, Merrillville, Indiana, USA, Chicago Cornea Research Center, Tinley Park, Illinois, USA
ISBN 9788180617577
Speciality Ophthalmology
DOI 10.5005/jp/books/10788
Edition 1/e
Publishing Year 2006
Pages 320
Book Type Reference


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