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Endothelial Keratoplasty: Current State of the Art

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Modern Keratoplasty

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

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Abstract

Endothelial keratoplasty (EK) has become the predominant form of corneal transplantation because it provides tremendous advantages over penetrating keratoplasty (PK) for treatment of endothelial decompensation, including faster visual recovery, minimal refractive change, and lower risk of immunologic rejection. Postoperative management of EK is more straightforward than with full-thickness grafts. Most importantly, EK essentially eliminates the biggest safety concerns with PK, the risk of loss of vision because of intraoperative suprachoroidal hemorrhage or postoperative wound rupture from minor trauma. EK surgical technique variations have been developed to address cases with challenging ocular comorbidities. This chapter discusses the indications for EK, methods of donor preparation, techniques for preforming EK, and surgical challenges.

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Author information

Authors and Affiliations

  1. Price Vision Group, Indianapolis, IN, USA

    Anjulie Gang & Francis W. Price

  2. Cornea Research Foundation, Price Vision Group, Indianapolis, IN, USA

    Marianne O. Price

Authors
  1. Anjulie Gang
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  2. Francis W. Price
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  3. Marianne O. Price
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Corresponding author

Correspondence to Marianne O. Price .

Editor information

Editors and Affiliations

  1. Vissum Miranza, Miguel Hernández University, Alicante, Spain

    Jorge L. Alió

  2. Vissum-Instituto Oftalmologico de Alica, Miguel Hernandez University, Alicante, Alicante, Spain

    Jorge L. Alió del Barrio

Electronic Supplementary Material

Surgical video of a DMEK procedure performed in a pseudophakic eye through a scleral tunnel incision. Scoring and stripping of the recipient’s dysfunctional endothelium and Descemet membrane were performed using air in the anterior chamber to enhance visualization (MP4 1201836 kb)

Surgical video of a DSAEK procedure combined with fibrous endothelial scar removal and anterior vitrectomy in an aphakic eye. Intraoperative OCT was used to confirm graft apposition at the end of the case (MP4 2066291 kb)

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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Gang, A., Price, F.W., Price, M.O. (2023). Endothelial Keratoplasty: Current State of the Art. In: Alió, J.L., del Barrio, J.L.A. (eds) Modern Keratoplasty. Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-031-32408-6_26

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  • DOI: https://doi.org/10.1007/978-3-031-32408-6_26

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-32407-9

  • Online ISBN: 978-3-031-32408-6

  • eBook Packages: MedicineMedicine (R0)

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