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Corneal Donor Tissue Preparation for Descemet's Membrane Endothelial Keratoplasty
Published on: September 17, 2014
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Optimizing outcomes for keratoplasty in ectatic corneal disease
Angeli Christy Yu1,2,3, Leila Mattioli2,3, Massimo Busin1,2,3
1Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara.
Current Opinion in Ophthalmology
|May 16, 2020
Summary
Deep anterior lamellar keratoplasty (DALK) is the preferred surgical option for advanced keratectasia. This review highlights surgical modifications and techniques to improve vision restoration in ectatic corneal disease.
Area of Science:
- Ophthalmology
- Corneal Surgery
Background:
- Advanced keratectasia necessitates corneal transplantation for vision restoration.
- Understanding ectatic corneal disease and surgical challenges has led to approach modifications.
Purpose of the Study:
- To review surgical approaches for advanced keratectasia.
- To discuss updates in corneal transplantation literature for these cases.
Main Methods:
- Literature review of surgical techniques for keratectasia.
- Analysis of recent advancements in corneal transplantation.
Main Results:
- Predictive factors for pneumatic dissection and complications guide surgical planning.
- Alternative lamellar dissection techniques are viable if pneumatic dissection fails.
- Surgical refinements and postoperative interventions enhance visual rehabilitation.
Conclusions:
- Deep anterior lamellar keratoplasty (DALK) is the primary surgical choice for ectatic corneal disease due to its advantages.

