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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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CORNEA/REFRACTIVE UPDATE
Year : 2010  |  Volume : 17  |  Issue : 1  |  Page : 5-8

Endothelial keratoplasty: From DLEK to DMEK


Department of Ophthalmology, Cornea and Refractive Surgery, Duke University Eye Center, Durham, NC, USA

Correspondence Address:
Natalie A Afshari
Cornea and Refractive Surgery, Duke University Eye Center, DUMC Box 3802, Durham, NC 27710
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.61210

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The last decade has heralded a revolutionary shift in the treatment of corneal endothelial disease. Only 15 years ago, the only surgical treatment for pseudophakic bullous keratopathy and Fuchs dystrophy was penetrating keratoplasty (PK). Although used successfully for over a century, PK requires many months of refractive adjustments before the eye achieves visual stability. Starting with the advent of posterior lamellar keratoplasty in the late 1990s, a number of procedures have been developed, refined, and widely adopted, which have given patients faster recoveries and improved globe stability in comparison to traditional corneal transplantation. Each iteration of endothelial keratoplasty (EK) has involved the increasingly selective transplantation of corneal endothelial cells. Preliminary results of the most recent form of EK, Descemet's membrane EK, suggest that pure endothelial cell transplantation is on the horizon.


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