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Chapter-27 Descemet's Stripping Automated Endothelial Keratoplasty

BOOK TITLE: Corneal Transplantation

Author
1. Price Marianne O
2. Price Francis W
ISBN
9788184488593
DOI
10.5005/jp/books/11167_27
Edition
2/e
Publishing Year
2010
Pages
10
Author Affiliations
1. Cornea Research Foundation of America, Indianapolis, IN, USA, Cornea Research Foundation of America, Indianapolis, IN USA, Cornea Research Foundation of America, Indianapolis, USA, Foundation of America, Indianapolis, Indiana, USA, Indianapolis, Indiana, USA, N Meridian St, Suite 212, Indianapolis, IN 46260, USA
2. Price Vision Group, Indianapolis, USA, Price Vision Group, Indianapolis, IN, USA, Price Vision Group, Indianapolis, Indiana, USA, N. Meridian St, Suite 100, Indianapolis, IN 46260, USA
Chapter keywords

Abstract

Endothelial keratoplasty selectively replaces dysfunctional corneal endothelium without significantly altering the refractive status of the eye, and it is rapidly replacing standard penetrating keratoplasty as the treatment of choice for endothelial disorders. Among the drawbacks of a standard penetrating keratoplasty are the prolonged recovery period, frequent increase in astigmatic error, and permanent weakening of the eye, which increases the risk of subsequent loss from traumatic injury. In contrast, Endothelial keratoplasty can be performed through a relatively small incision without any sutures, so visual recovery is rapid, the procedure is essentially refractive-neutral, and most of the structural integrity of the eye is retained. Endothelial keratoplasty has become the preferred method for treating endothelial dysfunction because it provides more rapid visual rehabilitation and an improved safety profile compared with standard penetrating keratoplasty. Outcomes should continue to improve with further optimization of donor preparation techniques.

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