Main description:

Corneal transplantation is a widely practised surgical procedure. Lamellar techniques are favoured replacing penetrating keratoplasty (PK). Endothelial keratoplasty (EK) has been adapted as an alternative in the treatment of corneal endothelial disorders whereby Descemet's membrane and the endothelium are replaced. Pre-Descemet's endothelial keratoplasty (PDEK) is the latest surgical technique for corneal transplantation.

This book is a step by step guide to PDEK for practising ophthalmologists.

Divided into five sections, the text begins with the basics explaining corneal anatomy, pre-operative assessment, general techniques in keratoplasty, and the principles of PDEK.

The following chapters discuss surgical techniques, special situations, and complications and results. The text covers numerous clinical scenarios and concludes with a section on miscellaneous topics such as OCT guided PDEK, eye bank preparation, and cosmetic iris implant complications.

The text is further enhanced by surgical photographs and includes an interactive DVD ROM demonstrating PDEK techniques.

Key points

Step by step guide to Pre-Descemet's endothelial keratoplasty (PDEK)
Explains surgical techniques for numerous clinical scenarios
Includes miscellaneous topics such as OCT guided PDEK and cosmetic iris implant complications
Accompanying DVD ROM demonstrates PDEK techniques

Contents:

SECTION I: BASICS

Corneal Anatomy and Ultrastructure
Preoperative Assessment, Indications and Contraindications in Endothelial Keratoplasty
Classification of Descemet's Membrane Detachment
Keratoplasty Techniques for Corneal Endothelial Disease: A Comparison of Procedures
Pre-Descemet's Endothelial Keratoplasty: Principles and Types of Big Bubbles

SECTION II: SURGICAL TECHNIQUE

Surgical Technique of Pre-Descemet's Endothelial Keratoplasty: 15 Steps to Mastering PDEK
Air Pump-assisted Pre-Descemet's Endothelial Keratoplasty
Trocar Anterior Chamber Maintainer
Endoilluminator-assisted Pre-Descemet's Endothelial Keratoplasty
Infant and Young Donor Pre-Descemet's Endothelial Keratoplasty

SECTION III: SPECIAL SITUATIONS

Glued Intraocular Lens
Single-Pass Four-Throw Technique for Pupilloplasty
Pre-Descemet's Endothelial Keratoplasty with Glued Intraocular Lens
Double Infusion Cannula Technique: Pre-Descemet's Endothelial Keratoplasty in Eyes without a Capsule
Pre-Descemet's Endothelial Keratoplasty in Failed Keratoplasties

SECTION IV: COMPLICATIONS AND RESULTS

Intraoperative Complications of Pre-Descemet's Endothelial Keratoplasty
Postoperative Complications of Pre-Descemet's Endothelial Keratoplasty
Mouse Sign for Inverted Pre-Descemet's Endothelial Keratoplasty Grafts
Optical Coherence Tomography Analysis and Results in Pre-Descemet's Endothelial Keratoplasty
Conversion from Pre-Descemet's Endothelial Keratoplasty to Descemet's Membrane Endothelial Keratoplasty

SECTION V: MISCELLANEOUS

Scarred Cornea to Clear Cornea: Avoiding Penetrating Keratoplasty and Boston Keratoprosthesis
Cosmetic Iris Implant Complications: Managed by Triple Procedure of Cataract, SPFT Pupilloplasty and PDEK
Optical Coherence Tomography Guided Pre-Descemet's Endothelial Keratoplasty
Eye Bank Preparation of Pre-Descemet's Endothelial Keratoplasty Grafts
Pre-descemetocele

Index