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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
This book provides state of the art information on modern minimally invasive lamellar transplant techniques for Fuchs endothelial dystrophy (FED), such as Descemet stripping automated endothelial keratoplasty (DSAEK) and Descemet membrane endothelial keratoplasty (DMEK). In addition to clear step-by-step descriptions of procedures, guidance is offered on donor tissue preparation, potential intra- and postoperative complications, and complication management. Future treatment options in the form of medical, cell-based approaches are also discussed. To complete the picture, relevant information is included on the pathophysiology, clinical features, and differential diagnosis of FED. This book will be of interest to all who wish to learn about the dramatic developments in corneal transplantation and medical treatment that are transforming the management of FED.
"DSEK: What You Need to Know About Endothelial Keratoplasty provides a comprehensive background of EK, where it is today, and where it is headed in the future. Francis W. Price, MD. who was the first to complete DSEK in the United States, along with Marianne Price, PhD, have designed this text to offer a special emphasis on how to perform surgeries along with preventing and managing complications. In addition, a diverse group of contributing authors provides a wide array of insights and tips for better patient outcomes."--BOOK JACKET.
​Keratoplasty techniques have evolved in the last 15 years into a variety of forms, which have diversified the previous monographic presence of the penetrating keratoplasty technique. The development of anterior lamellar graft (DALK), and posterior lamellar graft (DSAEK), makes an important change in the approach to lamellar surgery. Later on, the appearance of DMEK and superficial lamellar keratectomy broadened the spectrum. Today, intralamellar surgery has evolved with a number of techniques that involve stromal enhancement with biologically active or acellular corneal laminas from donors, customized lenticles from SMILE surgeries or customized by corneal topography, and more recently, corneal regeneration of the stroma by advanced techniques using mesenchymal stem cells. This book offers a comprehensive overview of modern keratoplasty techniques, the technology, surgical skills, and outcomes. It highlights the practical uses of keratoplasty for all cornea surgeons and anterior segment surgeons. The book is divided into sections, each covering a specific type of keratoplasty, including chapters on innovations within each surgery type. The goal of this book is to unify all recent knowledge about the different keratoplasty techniques and outcomes, creating a one-stop resource for ophthalmaolgy surgeons. Modern Keratoplasty is a must-have resource for corneal specialists and surgeons, anterior segment surgeons, refractive surgeons, cataract surgeons, residents, fellows, and corneal researchers.
Volume 2 of this edited book covers management of complex situations and complications. Topics such as combined surgeries, EK in complex situations, management of complications, graft management, and RHO-associated kinase (Rock) inhibitors have been covered as well. Basics and various surgical techniques have been covered in Volume 1 of Mastering Endothelial Keratoplasty. Endothelial keratoplasty is a field of great interest to all corneal surgeons. It is an exciting and evolving field in corneal transplantation as the newer techniques of DSAEK, DMEK, E-DMEK and PDEK have inherent advantages that make them supersede the older techniques by far. Hence, in today's scenario with the clearly superior results that these techniques offer, it is imperative for all corneal surgeons to learn them and know everything about managing the patient from the pre-operative to the postoperative period. This two-volume book is a must-read for the beginner as well as the established ophthalmologist with interest in corneal transplantation. It is also a must-have for educational institutions, hospital- based libraries and for post-graduate students, fellows and residents who want to expand their knowledge.
I am very proud and excited to introduce to you this book, which provides many interesting indications on how to better understand and handle the world of opticalcoherence tomography (OCT). Reading the chapters, you will be aware that this device is extremely important not just in the clinical practice of retinal diseases, but is also very useful as a surgical tool. Moreover, application of OCT has crossed the borders of the retina and is currently being applied to corneal diseases and glaucoma. I amconfident you will find enough useful information to improve your practice using OCT and to provide a better quality of care for your patients.
The Novartis Foundation Series is a popular collection of the proceedings from Novartis Foundation Symposia, in which groups of leading scientists from a range of topics across biology, chemistry and medicine assembled to present papers and discuss results. The Novartis Foundation, originally known as the Ciba Foundation, is well known to scientists and clinicians around the world.
State-of-the-art book provides hands-on guidance on the latest endothelial keratoplasty techniques A significant number of eye disorders result from deficiencies in the endothelial layer of the cornea. Endothelial keratoplasty (EK) helps spare patients from months of refractive adjustments, lengthy recovery, complications, and poor outcomes associated with full-thickness penetrating keratoplasty. This newer methodology is based on more selective transplantation of cells and is less invasive, resulting in quicker recovery and more efficacious outcomes. Contributors are world-renowned pioneers who are front and center in implementing innovative, sight-restoring techniques that continue to change the ophthalmic surgery landscape. In the first section, a solid foundation is laid with discussion of anatomy, the history of EK, clinical aspects of endothelial cell dysfunction, and clinico-pathology. Subsequent sections cover surgical procedures, special topics, surgical outcomes, complications, and future trends. Readers will gain invaluable insights from clinical pearls throughout the book, gleaned from hands-on experience by leading experts in the field of ocular surgery. Key Features: A large compendium of high-quality videos demonstrate cutting-edge approaches Richly illustrated with 400 images that further delineate anatomy and techniques Anterior segment surgery advances including Descemet's stripping endothelial keratoplasty (DSEK), predescemet's endothelial keratoplasty (PDEK), ultrathin DSEK, Descemet's membrane endothelial keratoplasty (DMEK), and trocar anterior chamber maintainer Treatment of conditions such as pseudophakic bullous keratopathy and Fuchs' dystrophy Management of complicated cases including glued IOL, cataract extraction & IOL implantation, glaucoma, failed grafts, and scarred corneas This book is a stellar resource on the surgical management of patients with corneal disease. It will benefit both trainees and practicing ophthalmologists - and is a must-have for specialists who perform corneal surgery.
This book is the latest volume in the Recent Advances in Ophthalmology series providing ophthalmic trainees and ophthalmologists with the latest surgical and technological developments in the field. Divided into 21 chapters, each section is dedicated to a specific topic, explaining symptoms, investigation techniques, imaging, differential diagnosis and treatment methods. The pros and cons of various surgical procedures are covered in depth. New to this volume is discussion on advances in lamellar keratoplasty, deep anterior lamellar keratoplasty, Descemet’s membrane endothelial keratoplasty (DMEK), and a new technique – keratopigmentation. The text features nearly 400 clinical photographs, diagrams, flowcharts and tables to assist learning. Key points Latest volume in Recent Advances in Ophthalmology series Covers latest surgical and technological developments in the field Features new topics and nearly 400 images, flowcharts and tables Previous volume (9789386322784) published in 2017
Mastering Corneal Surgery: Recent Advances and Current Techniques comprehensively covers all the recent advances in the existing techniques for common and rare corneal conditions, as well as presents the potential intraoperative circumstances the surgeon can face with their patients. Mastering Corneal Surgery: Recent Advances and Current Techniques by Drs. Amar Agarwal and Thomas John, along with more than 50 contributors, cover the most recent innovations in corneal surgery, including corneal procedures in combination with IOL implantation in eyes with deficient capsules, and combining endothelial keratoplasty with IOL repositioning. Bonus! Extensive high-quality video demonstrations of the techniques discussed inside Mastering Corneal Surgery: Recent Advances and Current Techniques enhances the written text, creating a superior companion website resource. The 28 videos, combined with the written text, clinical photographs and pictures, furthers the learning process more than learning from text or video alone. Mastering Corneal Surgery: Recent Advances and Current Techniques covers all the recent advances in the existing techniques for common and rare corneal conditions and presents the potential intraoperative circumstances the surgeon can encounter with their patients. The general ophthalmologist and cornea specialist will welcome the novel surgical methods and their differences from the existing techniques highlighted inside this cutting-edge resource.