[Descemet's stripping with automated endothelial keratoplasty (DSAEK)].
BACKGROUND
Although penetrating keratoplasty remains the gold standard for surgically treating corneal endothelial pathologies, tremendous progress has been made in recent years to improve the technology of (posterior) lamellar keratoplasty.


METHODS
Literature review from PubMed and own data.


RESULTS
Posterior lamellar keratoplasty using a microkeratome (Descemet's stripping with automated endothelial keratoplasty, or DSAEK) is a reliable surgical technique for Fuchs' endothelial dystrophy and pseudophakic bullous keratopathy. Visual rehabilitation is faster with lamellar keratoplasty than penetrating keratoplasty.


CONCLUSIONS
Posterior lamellar keratoplasty techniques such as DSAEK will become an important surgical treatment option for corneal endothelial pathologies.
Cursiefen
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C
Augenklinik mit Poliklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Schwabachanlage 6, 91054, Erlangen, Germany. ccursiefen@yahoo.com
Kruse
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D000368:Aged; D000075202:Contraindications; D003316:Corneal Diseases / Q000601:surgery; D016039:Corneal Transplantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D003886:Descemet Membrane / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005642:Fuchs' Endothelial Dystrophy / Q000601:surgery*; D006801:Humans; D017060:Patient Satisfaction; D011182:Postoperative Care; D011183:Postoperative Complications; D019591:Pseudophakia / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity; D014945:Wound Healing