[Corneal transplantation at the beginning of the 21th century].

Abstract

Corneal transplantation (keratoplasty) is necessary when various disorders result in corneal opacities with severe visual loss that cannot be treated conservatively, or the regular structure and curvature of the cornea is distorted, and its function is lost. Among human transplantation, keratoplasty is the most successful surgical procedure. In recent decades, penetrating keratoplasties have been increasingly replaced by lamellar techniques, where only the abnormal layer of the cornea is transplanted. The anterior form is deep anterior lamellar keratoplasty (DALK), recommended mainly for keratoconus. The main forms of posterior lamellar keratoplasty are Descemet's stripping automated endothelial keratoplasty (DSAEK) and Descemet's membrane endothelial keratoplasty (DMEK). The indications are bullous keratopathy after cataract surgery with endothelial destruction and Fuchs endothelial dystrophy. Lamellar keratoplasty has several advantages over penetrating surgery. Postoperative visual acuity is better, wound healing, patient rehabilitation are faster and the course of any immune rejection is milder and can be better managed. Orv Hetil. 2023; 164(28): 1087-1093.

• Authors: László Módis, Miklós Lukács, Sára Makhoul
• Journal: Orvosi hetilap (Orv Hetil) Vol. 164 Issue 28 Pg. 1087-1093 (Jul 16 2023) ISSN: 1788-6120 [Electronic] Hungary
• Vernacular Title: Szaruhártya-átültetés a 21. század elején.
• PMID: 37454331 (Publication Type: English Abstract, Journal Article)

Topics

• Humans
• Corneal Transplantation (methods)
• Cornea
• Keratoplasty, Penetrating
• Visual Acuity
• Keratoconus