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DSAEK and UT-DSAEK in FED: Step-by-Step Approach

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Current Treatment Options for Fuchs Endothelial Dystrophy

Abstract

Descemet stripping automated endothelial keratoplasty (DSAEK) has become worldwide the procedure of choice for the replacement of diseased corneal endothelium. More recently, ultrathin DSAEK (UT-DSAEK) has been introduced to guarantee better visual outcomes preserving good donor graft manipulation.

Since visual rehabilitation after conventional DSAEK may be suboptimal, new techniques like UT-DSAEK have been introduced to allow faster recovery of a better visual acuity.

UT-DSAEK is a procedure that shares the improved visual outcome and lower immunologic rejection rate of DMEK and the ease of preparation and surgical handling of conventional DSAEK, while minimizing postoperative complications. In addition, similarly to DSAEK and unlike DMEK, UT-DSAEK can be performed in all types of eyes, even in those with complicated anatomy or poor anterior chamber visualization. This chapter goes through the most recent findings and results of this technique.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Humanitas Clinical and Research Center, Milan, Italy

    Elena Albé MD

  2. Department of Ophthalmology, University of “Magna Graecia”, Catanzaro, Italy

    Vincenzo Scorcia MD

  3. Department of Ophthalmology, Ospedale Privato “Villa Igea”, Forlì, Italy

    Massimo Busin MD

  4. IRFO (Istituto internazionale di Ricerca e Formazione in Oftalmologia), Forlì, Italy

    Massimo Busin MD

Authors
  1. Elena Albé MD
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  2. Vincenzo Scorcia MD
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  3. Massimo Busin MD
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Corresponding author

Correspondence to Massimo Busin MD .

Editor information

Editors and Affiliations

  1. Department of Ophthalmology, University of Cologne, Cologne, Germany

    Claus Cursiefen

  2. Wilmer Eye Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA

    Albert S. Jun

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Albé, E., Scorcia, V., Busin, M. (2017). DSAEK and UT-DSAEK in FED: Step-by-Step Approach. In: Cursiefen, C., Jun, A. (eds) Current Treatment Options for Fuchs Endothelial Dystrophy. Springer, Cham. https://doi.org/10.1007/978-3-319-43021-8_8

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  • DOI: https://doi.org/10.1007/978-3-319-43021-8_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43019-5

  • Online ISBN: 978-3-319-43021-8

  • eBook Packages: MedicineMedicine (R0)

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