Lamellar Corneal Transplantation
| Autor: | Mark Terry, Mohammad Anwar, Eduardo Arenas, Salomon Esquenazi |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
genetic structures business.industry Fuchs Endothelial Dystrophy medicine.medical_treatment Visual rehabilitation Corneal Transplant Epikeratophakia Infectious Keratitis Descemet stripping automated endothelial keratoplasty eye diseases Corneal Diseases Surgery Ophthalmology Increased risk Humans Medicine Lamellar structure sense organs business Descemet Stripping Endothelial Keratoplasty Keratoplasty Penetrating Corneal transplantation |
| Zdroj: | Survey of Ophthalmology. 57:510-529 |
| ISSN: | 0039-6257 |
| Popis: | Penetrating keratoplasty (PK) has been the gold standard for the surgical treatment of most corneal pathologies; lamellar keratoplasty that only replaces the diseased corneal layers has recently evolved as an alternative, however. Innovations in surgical technique and instrumentation provide visual outcomes comparable to PK. We review the indications and outcomes of various techniques of anterior lamellar surgery developed to treat stromal disorders. Similarly, we discuss posterior lamellar keratoplasty techniques such as Descemet stripping automated endothelial keratoplasty and Descemet membrane endothelial keratoplasty. Posterior lamellar keratoplasty provides faster visual rehabilitation than PK in cases of Fuchs endothelial dystrophy and pseudophakic bullous keratopathy. In addition, for medically unresponsive infectious keratitis, therapeutic anterior lamellar keratoplasty yields similar graft survival to PK without an increased risk of disease recurrence. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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