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Chapter-16 Intraoperative Complications of Pre-Descemet’s Endothelial Keratoplasty

BOOK TITLE: Pre-Descemet’s Endothelial Keratoplasty (PDEK)

Author
1. Agarwal Amar
2. Kumar Dhivya Ashok
ISBN
9789352703036
DOI
10.5005/jp/books/14154_17
Edition
1/e
Publishing Year
2018
Pages
13
Author Affiliations
1. Dr Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai 600 086, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral road, Chennai-600086, Tamil Nadu (India), Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral road Chennai-600086, Tamil Nadu (India), Dr. Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral road, Chennai-600086, Tamil Nadu (India), Dr Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai, India, Agarwal's Eye Hospital, 13 Cathedral Road, Chennai, India, Eye Research Center and Dr Agarwal’s Group of Eye Hospitals, Chennai, Bengaluru, Trichy, India, and Dubai, United Arab Emirates, Dr. Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai, India, Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai, India, Agarwal’s Eye Hospital, Cathedral Road Chennai, India, Dr Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai-600 086, India, Dr Agarwal’s Group of Eye, Hospitals and Eye Research Centre, Chennai, Bangalore, Jaipur, Trichy, Salem, Calicut (India), 19 Cathedral Road, Chennai, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, Chennai, Bangalore, Jaipur, Trichy, Salem, Calicut (India), 19 Cathedral Road, Chennai, India, Eye Research Center and Dr Agarwal’s Group of Eye Hospitals, Chennai, Bangalore, Trichy, India and Dubai, United Arab Emirates, Dr Agarwal’s Group of Eye Hospitals, 19, Cathedral Road, Chennai, India 15, Eagle Street, Langford Town Bangalore, India, Dr. Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India, Dr Agarwal’s Group of Eye Hospitals, Chennai, Bangalore, Jaipur, Trichy, Salem , 19 Cathedral Road, Chennai, India and Eye Research Centre, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India, Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, Tamilnadu, India, Dr Agarwal’s Eye Institute, 19, Cathedral Road, Chennai, Tamil Nadu, India, Dr. Agarwal’s group of Eye Hospitals, Chennai, India, Dr Agarwal’s Eye Hospital Pvt Ltd, 19, Cathedral Road, Chennai, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai-600 086, Tamil Nadu, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Hospital, 9, Cathedral Road, C,hennai, India, Dr Agarwal’s Eye Institute, 13 Cathedral Road, Chennai, India, Dr. Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, India, 15 Eagle Street, Langford Town Bangalore, India, Villa No. 2, Roundhouse 3, Al Wasl Road, Dubai PB 9168, Dubai, Dr. Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, India, 15 Eagle Street, Langford Town Bangalore, India, Villa No. 2, Roundhouse 3, Al Wasl Road, Dubai PB, Dubai, Dr Agarwal’s Group of Eye Hospitals, and Eye Research Centre, Chennai, India., Dr. Agarwal’s group of eye hospitals at Chennai, Bangalore, Jaipur, Salem and Trichy, India, Dr. Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai-600086, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre 19, Cathedral Road, Chennai - 600 086, India, Dr Agarwal’s Group of Eye Hospitals, and Eye Research Centre, 19 Cathedral Road, Chennai, India, Eye Research Centre and Dr. Agarwal’s Group of Eye Hospitals, Chennai, Bangalore, Trichy, Jaipur, Salem, Kerala, India, Dr. Agarwal’s Group of Eye Hospitals Chennai, India, Agarwal Eye Institute, Chennai, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Center, Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Hospital, Chennai, Tamil Nadu, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Center, Chennai, Tamil Nadu, India; Indian Intraocular Implant and Refractive Society (IIRSI), Dr Agarwal's Group of Eye Hospitals, Chennai, Tamil Nadu, India, Dr Agarwal's Group of Eye Hospitals, Chennai, Tamil Nadu, India; Sri Ramachandra Medical College, Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Hospital, 19-Cathedral Road, Chennai-600086, India, Dr Agarwal's Group of Eye Hospitals and Eye Research Center, Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai-600086, India, 15 Eagle Street, Langford Town, Bangalore, India, Villa No. 2, Roundhouse 3, Al Wasl, Road, Dubai PB 9168, Dubai
2. Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India, Dr. Agarwal’s Eye Hospital and Eye Research Centre, Chennai, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Center, Chennai, Tamil Nadu, India
Chapter keywords
Pre-Descemet’s endothelial keratoplasty, PDEK, endothelial keratoplasty, Descemet’s membrane endothelial keratoplasty, DMEK, Descemet’s stripping and endothelial keratoplasty, pneumatic dissection, double bubble formation

Abstract

Pre-Descemet’s endothelial keratoplasty (PDEK) has many potential advantages over other endothelial keratoplasty’s (EK) like Descemet’s membrane endothelial keratoplasty (DMEK) or Descemet’s stripping and endothelial keratoplasty (DSEK); however in the learning curve complications are inevitable. These complications are generally manageable, and the risk tends to decline as a surgeon gains experience in the new surgical technique. Intraoperative complications have major impact on the final postoperative outcome. Hence, this chapter discusses the common intraoperative challenges, which can be faced during the learning curve of PDEK and the methods of management of the same.

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