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[Keratoplasty. Progress and distant goals].

R Sundmacher1

  • 1Universitäts-Augenklinik, Düsseldorf, Bundesrepublik Deutschland.

Fortschritte Der Ophthalmologie : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|January 1, 1990
PubMed
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Perforating keratoplasty shows rapid progress in preventing immune reactions and herpes, and in eye banking. However, advancements in transplant optics and endothelium survival remain limited.

Area of Science:

  • Ophthalmology
  • Corneal Transplantation
  • Immunology

Context:

  • Perforating keratoplasty (PKP) is a significant surgical procedure in ophthalmology.
  • Significant advancements have been made in managing complications and improving outcomes associated with PKP.
  • Areas of focus include prophylaxis and therapy for immune reactions and herpes simplex virus (HSV) recurrences.

Purpose:

  • To review the recent practical progress in perforating keratoplasty.
  • To identify areas where significant advancements have been achieved.
  • To highlight areas where progress remains limited.

Summary:

  • Rapid progress in PKP has been observed in the prophylaxis and therapy of immune reactions and herpes recurrences.
  • Improvements in the use of intraocular lenses and the efficiency of eye banks have also been noted.

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  • Limited progress has been made in normal transplant optics, transplant endothelium and epithelium survival, recurrence of epithelial dystrophies, and functional equivalence of lamellar transplants.

    • Impact:

    • Highlights successful applications of PKP in managing specific ocular conditions.
    • Identifies key areas for future research and development in corneal transplantation.
    • Provides a realistic outlook on the pace of progress in different aspects of PKP.