?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.
Chapter 1: Introduction: current status of corneal transplantation:
success, failures & turning points.- Part 1 - Preparing the Patient.
Chapter
2: Modern cornea eye banking: storage options, types of tissue .
Chapter 3:
Risk classification and management of corneal grafts, Human Leukocyte Antigen
matching, and options for immunosuppression therapy.
Chapter 4: Management
of the vascularized cornea before corneal graft surgery - Fine needle
diathermy - AntiVEGF.- Part 2 - Penetrating keratoplasty.
Chapter 5: Main
issues to overcome in modern PK .- Chapter 6: Improvements in surgical
techniques and suturing.
Chapter 7: Closing the wound: can sutures be
avoided?.- Chapter 8: Femtosecond Assisted Penetrating Keratoplasty and Deep
Anterior Lamelar Keratoplasty.
Chapter 9: Femtosecond Laser Assisted Tuck-In
Penetrating Keratoplasty.- Chapter 10: Rescuing Failed Penetrating
Keratoplasty Grafts.
Chapter 11: Excimer laser assisted PKP and DALK.- Part
3 - Epithelial Lamellar keratoplasty.- Chapter 12: Keratolimbal Grafts:
outcomes, innovations and alternatives.- Chapter 13: Simple Limbal Epithelial
Transplantation.- Chapter 14: Cultivated Limbal Epithelial Transplantation
(CLET).- Chapter 15: Mesenchymal Stem Cells for Regeneration of the Ocular
Surface.- Chapter 16: Induced pluripotent stem cells in epithelial lamellar
keratoplasty.- Part 4 - Stromal Lamellar keratoplasty.- Chapter 17: Bowman
layer transplantation.- Chapter 18: Anterior Lamellar Keratoplasty: current
state of the art.- Chapter 19: Customised Lenticule addition keratoplasty
(SLAK).- Chapter 20: Lamellar surgery with SMILE lenticles.- Chapter
21: Corneal Allogenic Intrastromal Ring Segments (CAIRS).- Chapter
22: Advanced DALK techniques: - Mushroom mini big bubble DALK.- Chapter
23: Large-Diameter Deep Anterior Lamellar Keratoplasty.- Chapter
24: Regenerative Surgery of the Corneal Stroma For Advanced
Keratoconus.- Part 5 - Endothelial Keratoplasty.- Chapter 25: Endothelial
Keratoplasty. Historical review and current outcomes.- Chapter
26: Endothelial Keratoplasty: current state of the art .- Chapter 27: Corneal
Endothelial Cell Transfer.- Chapter 28: Ultrathin DSAEK.- Chapter
29: Innovations in Descemet Membrane Endothelial Keratoplasty
(DMEK).- Chapter 30: Descemet stripping only (DSO).- Chapter
31: Pre-Descemet's endothelial keratoplasty (PDEK) - Science and
Surgery.- Chapter 32: Predescemetic endothelial keratoplasty (PDEK):
clinical considerations and surgical details.- Chapter 33: DM transplant
alone.- Chapter 34: Femtosecond Laser-Assisted Deep Lamellar Endothelial
Keratoplasty.- Chapter 35: Femtosecond Descemet Membrane Endothelial
Keratoplasty.- Chapter 36: Cultured cells for corneal endothelial
therapy.- Chapter 37: What is new in Keratoprosthesis.- Chapter
38: Intraoperative OCT in Corneal Graft.- Chapter 39: Future Perspectives in
corneal graft surgery.
Jorge L. Alio MD, PhD, FEBO Universidad Miguel Hernandez, Vissum MiranzaAlicante, Spain C/ Cabańal, 1 03016 Alicante, SPAIN Jorge L. Alio del Barrio MD, PhD, FEBOS-CR Universidad Miguel Hernandez, Vissum Miranza, Alicante, Spain C/ Cabańal, 1 03016 Alicante, SPAIN
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