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Chapter-22 New Lamellar Keratoplasty Techniques: Posterior Keratoplasty and Deep Lamellar Keratoplasty

BOOK TITLE: Corneal Transplantation

Author
1. Jain Sandeep
2. Azar Dimitri T
ISBN
9788184488593
DOI
10.5005/jp/books/11167_22
Edition
2/e
Publishing Year
2010
Pages
6
Author Affiliations
1. University of Illinois at Chicago, Chicago, IL 60612, USA, Massachusetts Eye and Ear Infirmary, Boston, MA, USA, Rajiv Gandhi Cancer Institute and Research Center, New Delhi, India, Jaypee Hospital, Sector 128, Wish town, Nodia, Uttar Pradesh, India, Max Super Speciality Hospital, New Delhi, India
2. University of Illinois at Chicago, Chicago, IL 60612, USA, Massachusetts Eye and Ear Infirmary, Boston, MA, USA, Massachusetts Eye and Ear Infirmary, Schepens Eye Research Institute, Harvard Medical School, Boston, Massachusetts, USA, University of Illinois at Chicago, Chicago, Illinois, USA, Alphabet Verily Life Sciences, San Francisco, CA, USA; University of Illinois College of Medicine, Chicago, IL, USA
Chapter keywords

Abstract

Endothelial cell dysfunction is seen in conditions such as aphakic and pseudophakic bullous keratopathy, graft failure and Fuchs’ dystrophy. Although penetrating keratoplasty is currently the surgical method of choice for improving vision in such conditions, selective transplantation of only the posterior corneal tissue (endothelium and posterior stroma) is an another alternative. This procedure, termed posterior keratoplasty, is useful in selected patients with corneal decompensation due to diseased endothelium. Melles et al have previously reviewed the techniques of posterior keratoplasty. Since, then the preliminary results of posterior lamellar keratoplasty on sighted human eyes have been reported by several investigators. Herein, we will review the surgical technique and results of posterior keratoplasty on sighted human eyes.

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