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Updated: Jul 19, 2026

Corneal Donor Tissue Preparation for Endothelial Keratoplasty
Published on: June 12, 2012
Deep lamellar endothelial keratoplasty: histopathology of complications in initial cases
Rashmi Kapur1, Joel Sugar, Deepak P Edward
1Department of Ophthalmology, University of Illinois-Chicago, Chicago, IL 60612, USA.
Purpose:
To report complications encountered after 2 initial cases of deep lamellar endothelial keratoplasty.
Methods:
Review of clinical findings of 2 initial cases in which intraoperative and postoperative complications were encountered. Corneal buttons from the 2 cases were evaluated by light microscopy and transmission electron microscopy.
Results:
Complications encountered were related to the graft-recipient interface and the lamellar dissection of the recipient and donor corneas.
Conclusion:
Deep lamellar endothelial keratoplasty is an evolving procedure that shows much promise. These 2 cases show that the procedure entails a separate skill set from penetrating keratoplasty and requires significant surgeon practice before being introduced into the individual's transplant practice.

