EXPORT CITATION

Chapter-20 Manual Lamellar Keratoplasty

BOOK TITLE: Corneal Transplantation

Author
1. Vajpayee Rasik B
2. Sharma Namrata
3. Kumar Chandra Shekhar
ISBN
9788184488593
DOI
10.5005/jp/books/11167_20
Edition
2/e
Publishing Year
2010
Pages
12
Author Affiliations
1. Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Vision Eye Institute, Melbourne, Royal Victorian Eye and Ear Hospital, University of Melbourne, Melbourne, Australia, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Centre for Eye Research Australia, University of Melbourne, Australia, All India Institute of Medical Sciences, RP Center, New Delhi, India, Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, University of Melbourne, Australia, Cornea Services Royal Victorian Eye and Ear Hospital, Centre for Eye Research, University of Melbourne, Australia, RP Center of Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Dr Rajendra Prasad Center for Ophthalmic Science
2. All India Institute of Medical Sciences (AIIMS), New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
3. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
Chapter keywords

Abstract

Arthur Von Hippel performed the first successful lamellar keratoplasty for visual improvement in the last quarter of the 19th century. The basic principle of lamellar keratoplasty is to replace only that part of the cornea that is diseased and leave the recipient’s normal anatomic layers intact. The idea is to do the least amount of resection, with greatest amount of benefit thus leaving the healthy endothelium and Descemet’s membrane as an immunologic barrier to rejection. Ever since its inception, this technique has evolved in the recent years. The Anterior lamellar keratoplasty has evolved considerably in the last few years with the precision of depth and smoothness achieved in the recipient bed, the refined automation and sophisticated processing available for the donor tissue and extension of indications for optical lamellar keratoplasty. Moreover, the application of Posterior lamellar keratoplasty for endothelial replacement leaving the host’s healthy anterior stroma intact has been recently investigated.

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved