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Descemet’s Stripping Automated Endothelial Keratoplasty

  • Robert A. CopelandJr
  • Usiwoma Abugo
  • Young-Joo Lee
Chapter

Abstract

In the past, a penetrating keratoplasty (PK) was the mainstay of treatment for corneal endothelial disease. It involves the replacement of full-thickness corneal host tissue by a full-thickness donor. The procedure is relatively simple compared to posterior lamellar procedures, but good visual outcomes are often limited. This is secondary to high or irregular astigmatism. Many months are required to achieve visual stability due to suture-dependent corneal curvature and astigmatism. It can be related to ocular surface and suture-related problems. Globe instability is a major concern with PKs, leading to devastating expulsive hemorrhages intraoperatively or postoperatively secondary to ocular trauma and wound dehiscence [1]. In the 1960s, Barraquer proposed a method to selectively replace the diseased endothelium with an anterior approach via a corneal flap. This was not adopted secondary to vascular in growth at the host-donor interface and technique-induced astigmatism [2].

Keywords

Anterior Chamber Donor Graft Endothelial Cell Density Penetrate Keratoplasty Anterior Segment Optical Coherence Tomography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer India 2016

Authors and Affiliations

  • Robert A. CopelandJr
    • 1
  • Usiwoma Abugo
    • 1
  • Young-Joo Lee
    • 2
  1. 1.Department of OpthalmologyHoward University HospitalWashingtonUSA
  2. 2.Louis Stokes Health Sciences LibraryHoward UniversityWashingtonUSA

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