[Sutureless deep lamellar endothelial keratoplasty].
Corneal endothelial dysfunction can severely affect visual acuity. In order to deal with this morbidity, ophthalmologists used to perform penetrating keratoplasty, in which the complications, such as postoperative astigmatism and graft rejection, led to poor visual recovery. If only the Descemet's membrane and endothelium is transplanted, the corneal injury of recipients caused by surgeries would be reduced and better visual acuity recovery might be guaranteed. In the past few years, the advantages of sutureless deep lamellar endothelial keratoplasty have been brought to the attention by more and more ophthalmologists worldwide. However, the challenging techniques of performing DLEK limits its clinical application. Other kind of, DSEK, by stripping Descemet's membrane and endothelium from the recipient cornea, has produced excellent outcomes. This article outlined and analysed surgery techniques, clinical results and complications of DSEK.
Department of Ophthalmology, Eye Ear Nose and Throat Hospital of Fudan University, Shanghai 200031, China.
Min-jie
MJ
Chen
Lan
L
Gong
D016039:Corneal Transplantation / Q000379:methods*; D004728:Endothelium, Corneal / Q000637:transplantation*; D006801:Humans