Table Of ContentKERATOPLASTIES –
SURGICAL TECHNIQUES
AND COMPLICATIONS
Edited by Luigi Mosca
Keratoplasties – Surgical Techniques and Complications
Edited by Luigi Mosca
Published by InTech
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Copyright © 2011 InTech
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First published December, 2011
Printed in Croatia
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Keratoplasties – Surgical Techniques and Complications, Edited by Luigi Mosca
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ISBN 978-953-307-809-0
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Contents
Preface IX
Part 1 Penetrating Keratoplasty 1
Chapter 1 Clinical Indications for Penetrating Keratoplasty
and Epidemiological Study in Teaching Hospitals
of Birjand Medical University from 1999 to 2006 3
Mohammad Hossien Davari and Hoda Gheytasi
Chapter 2 Therapeutic Keratoplasty for Microbial Keratitis 11
Ana Lilia Pérez-Balbuena, Diana Santander-García,
Virginia Vanzzini-Zago and Diego Cuevas-Cancino
Chapter 3 Keratoplasty in
Contact Lens Related Acanthamoeba Keratitis 31
Beata Kettesy, Laszlo Modis Jr.,
Andras Berta and Adam Kemeny-Beke
Part 2 Lamellar Keratoplasties 53
Chapter 4 Manual Deep Anterior Lamellar Keratoplasty 55
Farid Daneshgar
Chapter 5 Femtosecond Laser Assisted Lamellar Keratoplasties 77
Luigi Mosca, Laura Guccione, Luca Mosca,
Romina Fasciani and Emilio Balestrazzi
Chapter 6 Descemet’s Stripping with Automated
Endothelial Keratoplasty (DSAEK) in Patients
with Black Diaphragm Intraocular (BDI) Lens 93
Hui-Jin Chen, Yan-sheng Hao and Jing Hong
Part 3 Complications of Keratoplasties 99
Chapter 7 The Complications After Keratoplasty 101
Patricia Durán Ospina
VI Contents
Chapter 8 Diagnosis and Treatment
of a Rare Complication After Penetrating
Keratoplasty: Retained Descemet’s Membrane 119
Roberto Ceccuzzi, Gabriella Ricciardelli, Annita Fiorentino,
Meri Tasellari, Giovanni Furiosi and Paolo Emilio Bianchi
Chapter 9 Topical Bevacizumab Therapy
in Graft Rejection After Penetrating Keratoplasty 127
Sandeep Saxena and Neha Sinha
Preface
The practice of this subspecialty in ophthalmology diversifies each day, and grows
with new surgical techniques and therapeutic approaches to corneal pathologies. This
book on keratoplasties, divided into three sections, may perhaps seem too
undemanding to some, but all the new therapeutic and surgical techniques are well
approached in these chapters.
The long-lasting penetrating keratoplasty (PK) technique has shown to have good
results, both anatomical and optical, leading to better visual outcomes despite other
keratoplasty techniques, maintaining its place in corneal transplant surgery until
today, especially in cases of infectious disease of the cornea. Moreover, for a long time,
PK relegated lamellar keratoplasty (LK) techniques to primarily tectonic indications
due to poor visual results. The development of new technologies (diamond knives,
microkeratomes, lasers) and the creation of new surgical techniques (descemeting and
predescemeting techniques) leading to better interfaces, have given a new impulse to
lamellar keratoplasty surgery in the last years. Deep anterior lamellar keratoplasty
(DALK) and the Descemet stripping endothelial keratoplasty (DSEK), less invasive
and equally effective both in anatomical and visual outcomes, are the leading
techniques for most corneal pathologies in preference to the PK today.
This edition is in an electronic format, allowing universal access to everybody regardless
of the time of day or setting, portability, and speed of information access. Such features
help to reduce the time needed for research, showing more feasibility for all readers.
The main purpose of this book is to show the different therapeutic and surgical
techniques to treat corneal pathologies, as well as analyzing the postoperative
complications of the different treatments.
I hope that this book can serve as a good tool to all students approaching the field of
corneal transplantation, and to all practitioners working in the field of corneal
transplantation as a contribution to improvement in care for patients with corneal
disease.
Luigi Mosca, MD
Catholic University “Sacro Cuore”, Rome,
Italy
