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Chapter-04 Keratoplasty Techniques for Corneal Endothelial Disease: A Comparison of Procedures

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

Author
1. Tonk Rahul
2. Mercado Carolina
3. Osama Ibrahim
4. Karp Carol L
ISBN
9789352703036
DOI
10.5005/jp/books/14154_5
Edition
1/e
Publishing Year
2018
Pages
14
Author Affiliations
1. Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA
2. Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA
3. Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA
4. Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA
Chapter keywords
Keratoplasty technique, corneal endothelial disease, penetrating keratoplasty, Descemet’s stripping endothelial keratoplasty, Descemet’s membrane endothelial keratoplasty, pre-Descemet’s endothelial keratoplasty

Abstract

This chapter focuses on the procedure of keratoplasty techniques used for corneal endothelial disease. Penetrating keratoplasty is a transplant procedure in which full-thickness host corneal tissue is replaced with donor corneal tissue. This surgery enjoys surgeon familiarity and a sound success rate—defined as grafts remaining clear at 1 year—of over 90% in numerous series. A detailed description on Descemet’s stripping endothelial keratoplasty, Descemet’s membrane endothelial keratoplasty, and pre-Descemet’s endothelial keratoplasty has been presented in this chapter. Advances in instrumentation, technique, and basic science have allowed patients to achieve excellent and predictable visual results, a rapid recovery, and reduced risk of graft rejection.

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