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Consultation Section

Consultation Section Donor Corneal Disk Insertion Techniques in Descemetorhexis with Endokeratoplasty EDITED BY THOMAS JOHN, MD INTRODUCTION FROM THOMAS JOHN, MD Selective tissue corneal transplantation (STCT) (1–4), a term introduced by Dr. John, is becoming increasingly popular, especially for posterior lamellar keratoplasty (PLK), namely descemetorhexis with endokeratoplasty (DXEK) (1–22). In DXEK, only the patient’s compromised corneal endothelium is removed and replaced with a healthy, donor corneal endothelium along with its Descemet’s membrane and deep corneal stroma with a total donor corneal disk thickness of about 150 lm. The elimination of a full- thickness corneal wound and corneal sutures from the conventional penetrating keratoplasty procedure is a Thomas John, MD huge step forward in the advancement of corneal transplantation with a significant benefit to the patient along with quicker visual recovery and improved quality of postoperative vision as compared to full-thickness penetrating keratoplasty. One of the important steps in this surgical proce- dure is the insertion of the donor corneal disk into the recipient anterior chamber (AC). This consultation section is dedicated to different surgical approaches to corneal disk insertion in DXEK surgery. CONSULTANTS Drs. Jay C. Bradley and David L. McCartney describe their ‘‘suture-drag technique’’ of inserting the donor corneal disk http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Ophthalmology Springer Journals

Consultation Section

John, Thomas
Annals of Ophthalmology , Volume 39 (4) – Oct 30, 2007
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Publisher
Springer Journals
Copyright
Copyright © 2007 by American Society of Contempary Ophthalmology & The Intenational Association of Ocular Surgeons
Subject
Medicine & Public Health; Ophthalmology
ISSN
1530-4086
eISSN
1558-9951
DOI
10.1007/s12009-007-9021-0
Publisher site
See Article on Publisher Site

Abstract

Donor Corneal Disk Insertion Techniques in Descemetorhexis with Endokeratoplasty EDITED BY THOMAS JOHN, MD INTRODUCTION FROM THOMAS JOHN, MD Selective tissue corneal transplantation (STCT) (1–4), a term introduced by Dr. John, is becoming increasingly popular, especially for posterior lamellar keratoplasty (PLK), namely descemetorhexis with endokeratoplasty (DXEK) (1–22). In DXEK, only the patient’s compromised corneal endothelium is removed and replaced with a healthy, donor corneal endothelium along with its Descemet’s membrane and deep corneal stroma with a total donor corneal disk thickness of about 150 lm. The elimination of a full- thickness corneal wound and corneal sutures from the conventional penetrating keratoplasty procedure is a Thomas John, MD huge step forward in the advancement of corneal transplantation with a significant benefit to the patient along with quicker visual recovery and improved quality of postoperative vision as compared to full-thickness penetrating keratoplasty. One of the important steps in this surgical proce- dure is the insertion of the donor corneal disk into the recipient anterior chamber (AC). This consultation section is dedicated to different surgical approaches to corneal disk insertion in DXEK surgery. CONSULTANTS Drs. Jay C. Bradley and David L. McCartney describe their ‘‘suture-drag technique’’ of inserting the donor corneal disk

Journal

Annals of Ophthalmology – Springer Journals

Published: Oct 30, 2007

References

  • Selective tissue corneal transplantation: a great step forward in global visual restoration (Editorial)
    John, T
  • DXEK surgery, corneal disk detachment (Consultaion Section)
    John, T
  • A surgical technique for posterior lamellar keratoplasty
    Melles, GR; Eggink, FA; Lander, F
  • Endothelial replacement without surface corneal incisions or sutures: topography of the deep lamellar endothelial keratoplasty procedure
    Terry, MA; Ousley, PJ
  • Deep lamellar endothelial keratoplasty in the first United States patients: early clinical results
    Terry, MA; Ousley, PJ
  • Replacing the endothelium without corneal surface incisions or sutures: the first United States clinical series using the deep lamellar endothelial keratoplasty procedure
    Terry, MA; Ousley, PJ
  • Rapid visual rehabilitation after endothelial transplants with deep lamellar endothelial keratoplasty (DLEK)
    Terry, MA; Ousley, PJ
  • Corneal endothelial transplantation: advances in the surgical management of endothelial dysfunction
    Terry, MA; Ousley, PJ
  • Small-incision deep lamellar endothelial keratoplasty (DLEK): 6-month results in the first prospective clinical study
    Terry, MA; Ousley, PJ
  • Stability of vision, topography, and endothelial cell density from 1 year to 2 years after deep lamellar endothelial keratoplasty surgery
    Ousley, PJ; Terry, MA
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    John, T
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    John, T
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    Melles, GRJ; Lander, F; Rietveld, FJR
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    Melles, GR
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    Price, FW; Price, MO
  • Descemet stripping with endothelial keratoplasty for treatment of iridocorneal endothelial syndrome
    Price, MO; Price, FW
  • Experience and 12-month results of descemet-stripping endothelial keratoplasty (DSEK) with a small-incision technique
    Mearza, AA; Qureshi, MA; Rostron, CK
  • Descemet’s stripping endothelial keratoplasty
    Price, MO; Price, FW
  • Diagnosis of residual Descemet’s membrane after Descemet’s stripping endothelial keratoplasty with anterior segment optical coherence tomography
    Kymionis, GD; Suh, LH; Dubovy, SR
  • Descemet’s stripping with endothelial keratoplasty in 50 eyes: a refractive neutral corneal transplant
    Price, FW; Price, MO
  • Visual acuity, refractive error, and endothelial cell density six months after Descemet stripping and automated endothelial keratoplasty (DSAEK)
    Koenig, SB; Covert, DJ; Dupps, WJ
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    Gorovoy, MS
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    Bradley, JC; McCartney, DL