TY - JOUR
T1 - Endothelial keratoplasty
T2 - Historical perspectives, current techniques, future directions
AU - Rose, Linda
AU - Kelliher, Clare
AU - Jun, Albert S.
PY - 2009/8
Y1 - 2009/8
N2 - Endothelial keratoplasty (EK) has recently emerged as an alternative to penetrating keratoplasty (PK) for patients with endothelial diseases, including Fuchs' endothelial dystrophy, pseudophakic bullous keratopathy, and corneal graft failure. EK provides distinct advantages over PK, in that it is a less invasive procedure and leads to more rapid recovery of vision. Additionally, this procedure does not require long-term corneal sutures, eliminating problems with suture breakage, suture abscesses, astigmatism, and wound dehiscence. Disadvantages of EK include the need for specially prepared donor tissue and additional surgeon training or experience. In this review we discuss the history of EK, recent advances that have led to its widespread use, limits and complications of the procedure, and areas for future improvement.
AB - Endothelial keratoplasty (EK) has recently emerged as an alternative to penetrating keratoplasty (PK) for patients with endothelial diseases, including Fuchs' endothelial dystrophy, pseudophakic bullous keratopathy, and corneal graft failure. EK provides distinct advantages over PK, in that it is a less invasive procedure and leads to more rapid recovery of vision. Additionally, this procedure does not require long-term corneal sutures, eliminating problems with suture breakage, suture abscesses, astigmatism, and wound dehiscence. Disadvantages of EK include the need for specially prepared donor tissue and additional surgeon training or experience. In this review we discuss the history of EK, recent advances that have led to its widespread use, limits and complications of the procedure, and areas for future improvement.
KW - Endothelial keratoplasty
KW - Penetrating keratoplasty
UR - http://www.scopus.com/inward/record.url?scp=68149171587&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=68149171587&partnerID=8YFLogxK
U2 - 10.3129/i09-090
DO - 10.3129/i09-090
M3 - Article
C2 - 19606160
AN - SCOPUS:68149171587
SN - 0008-4182
VL - 44
SP - 401
EP - 405
JO - Canadian Journal of Ophthalmology
JF - Canadian Journal of Ophthalmology
IS - 4
ER -