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Chapter-39 An Update on Surgical Techniques for DSEK

BOOK TITLE: Surgical Techniques in Ophthalmology: Corneal Surgery

Author
1. Sharma Ashok
ISBN
9788184488579
DOI
10.5005/jp/books/11369_39
Edition
1/e
Publishing Year
2010
Pages
5
Author Affiliations
1. Dr Ashok Sharma’s Cornea Centre, Sector 22-A, Opp. Parade Ground, Near Bus Stand, Chandigarh, India, Dr Ashok Sharma’s Corneal Centre, SCO 833-834, 2nd Floor, Sector 22-A, Chandigarh, India, Cornea Centre, SCO 833-834 (2nd Floor), Sector 22-A, Near Bus Stand, Opp Parade Ground, Chandigarh, India, Dr. Ashok Sharma’a Cornea Centre, SCO 833-34 (2nd Floor), Sector 22-A, Opp. Parade Ground, Near Bus Stand, Chandigarh, India, Dr Ashok Sharma’s Cornea Centre, Chandigarh, India, Dr. Ashok Sharma’s Corneal Centre, SCO 833-834 (2nd Floor), Sector 22-A, Chandigarh, India, Dr. Ashok Sharma’s Cornea Center, SCO 833-34 (2nd Floor), Sector 22-A Opp. Parade Ground, Near Bus Stand, Chandigarh, India, Malhotra Test Tube Baby Centre, Agra, Indra Gandhi Medical College, Shimla, Himachal Pradesh, India, Scientific Pathology Laboratories, Agra, Uttar Pradesh, India, Dr Ashok Sharma’s Cornea Centre, SCO 833-834, IInd Floor Sector 22-A, Chandigarh, India
Chapter keywords
corneal transplant, endothelium of the cornea, Descemet’s stripping (automated) endothelial keratoplasty, refractive stability, postoperative refractive outcomes, choroidal hemorrhage

Abstract

Corneal transplant is most successful of all organ transplants being performed on human body. Descemet’s stripping endothelial keratoplasty (DSEK) appears to be safe and effective for the management of the diseases affecting endothelium of the cornea. Surgical complication rates, graft clarity, visual acuity and endothelial cell loss following Descemet’s stripping (automated) endothelial keratoplasty is reported equivalent to PK. Descemet’s stripping automated endothelial keratoplasty (DSAEK) is reported superior to PK considering early visual recovery, refractive stability, postoperative refractive outcomes, wound/suture-related complications and intraoperative or late choroidal hemorrhage. DSEK/DSAEK is currently the most preferred surgical procedure for treatment of the corneal endothelial disorders.

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