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Graft Thickness and Its Relationship to Visual Outcome in Endothelial Keratoplasty

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Mastering Endothelial Keratoplasty

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Abstract

Descemet’s stripping automated endothelial keratoplasty (DSAEK) is the most popular technique to replace diseased endothelium [1]. In this procedure, donor Descemet’s membrane and endothelium along with a thin layer of deep stroma is juxtaposed to host cornea that is stripped of Descemet’s membrane. Visual outcome is quite good, but not all patients can achieve 20/20 BSCVA. A stromal interface is created between recipient stroma and donor tissue. Some believe this interface is responsible for suboptimal visual results obtained in a percentage of patients undergoing this type of surgery (Fig. 12.1) [2–4].

Financial Interest

Dhaliwal: Novabay (medical advisory board); Abbott Medical Optics (research support, trainer for Visx and Intralase lasers); Avedro (research support)

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Authors and Affiliations

  1. University of Pittsburgh School of Medicine, 203 Lothrop St, Suite 800, Pittsburgh, PA, 15213, USA

    Deepinder K. Dhaliwal MD, LAc

  2. University of Pittsburgh Medical Center, 203 Lothrop St, Pittsburgh, PA, 15213, USA

    Amr M. Kouchouk MD

Authors
  1. Deepinder K. Dhaliwal MD, LAc
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  2. Amr M. Kouchouk MD
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Correspondence to Deepinder K. Dhaliwal MD, LAc .

Editor information

Editors and Affiliations

  1. Director and Chief, Dr. Agarwal's Refractive and Cornea Foundation, Dr. Agarwal's Group of Eye Hospitals, Chennai, India

    Soosan Jacob

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Dhaliwal, D.K., Kouchouk, A.M. (2016). Graft Thickness and Its Relationship to Visual Outcome in Endothelial Keratoplasty. In: Jacob, S. (eds) Mastering Endothelial Keratoplasty . Springer, New Delhi. https://doi.org/10.1007/978-81-322-2821-9_12

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  • DOI: https://doi.org/10.1007/978-81-322-2821-9_12

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  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-2819-6

  • Online ISBN: 978-81-322-2821-9

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