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Surgical Correction of Keratoconus: Different Modalities of Keratoplasty and Their Clinical Outcomes

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Keratoconus

Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

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Abstract

Treatment of keratoconus has experienced great advances in the last two decades and a constant update is mandatory in order to offer these patients an adequate treatment. Nowadays, we have treatment options in order to halt the progression of the disease, and together with the advances in rigid gas permeable contact and scleral lenses fitting, and the possibility of minimizing the severity of the cone with technically easy and safe surgical procedures, it has been reduced the amount of patients that end up requiring a corneal transplant for their visual rehabilitation. However, we still observe cases with an advance disease at presentation as a consequence of a late diagnosis. In such cases corneal transplantation is still required so it is critical for the corneal specialist to master these techniques and to know how to deal with these patients along their postoperative period that will be extended for the rest of their lives. Lamellar transplant techniques opened a new hope for these patients and even today a lot of research is being done in order to simplify its techniques and to do them more reproducible for novel surgeons. In this chapter, we will review the different corneal transplant techniques available for keratoconus and the different technical modifications that we should take into account while managing this disease in order to enhance our patient’s surgical outcomes. We will review all the current evidence about the long-term results of these techniques and we will have a look to the future to discuss the new surgical options that may arrive in the next few years.

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Informed Consent: No human studies were carried out by the authors for this article.

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Authors and Affiliations

  1. Keratoconus Unit, Department of Refractive Surgery, Vissum Alicante, Alicante, Spain

    Jorge L. Alió del Barrio M.D., Ph.D. & Jorge L. Alió M.D., Ph.D., F.E.B.O.

  2. Division of Ophthalmology, Miguel Hernández University, Alicante, Spain

    Jorge L. Alió del Barrio M.D., Ph.D. & Jorge L. Alió M.D., Ph.D., F.E.B.O.

  3. Ophthalmology Department, IRYCIS, Ramón y Cajal University Hospital, Madrid, Spain

    Francisco Arnalich Montiel M.D., Ph.D.

  4. Cornea Unit, Hospital Vissum Madrid, Madrid, Spain

    Francisco Arnalich Montiel M.D., Ph.D.

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  1. Jorge L. Alió del Barrio M.D., Ph.D.
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Correspondence to Jorge L. Alió M.D., Ph.D., F.E.B.O. .

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  1. Keratoconus Unit Department of Refractive Surgery, Vissum Alicante, Alicante, Spain

    Jorge L. Alió

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Alió del Barrio, J.L., Arnalich Montiel, F., Alió, J.L. (2017). Surgical Correction of Keratoconus: Different Modalities of Keratoplasty and Their Clinical Outcomes. In: Alió, J. (eds) Keratoconus. Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-43881-8_23

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