Endothelial keratoplasty: evolution and horizons

Endothelial keratoplasty has been adopted by corneal surgeons worldwide as an alternative to penetrating keratoplasty (PK) in the treatment of corneal endothelial disorders. Since the first surgeries in 1998, different surgical techniques have been used to replace the diseased endothelium. Compared with penetrating keratoplasty, all these techniques may provide faster and better visual rehabilitation with minimal change in refractive power of the transplanted cornea, minimal induced astigmatism, elimination of suture-induced complications and late wound dehiscence, and a reduced demand for postoperative care. Translational research involving cell-based therapy is the next step in work on endothelial keratoplasty. The present review updates information on comparisons among different techniques and predicts the direction of future treatment.

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Bibliographic Details
Main Authors: Grottone,Gustavo Teixeira, Pereira,Nicolas Cesário, Gomes,José Álvaro Pereira
Format: Digital revista
Language:English
Published: Conselho Brasileiro de Oftalmologia 2012
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492012000600016
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