Endothelial Keratoplasty Versus Penetrating Keratoplasty
Endothelial Keratoplasty Versus Penetrating Keratoplasty
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内皮角膜移植术与穿透性角膜移植术
DOI：
10.1007/978-81-322-2818-9_4
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发表时间：
2016
影响因子：
1.9
通讯作者：
A. Sumathi
中科院分区：
文献类型：
--
作者：
S. Jacob;A. Sumathi
角膜疾病的金标准手术是穿透性角膜移植术 (PK)，直到 1914 年板层角膜移植术的概念被描述。这改变了角膜疾病的适应症和手术选择。内皮角膜移植术（EK）早在1998年就开始了，为了使EK更简单、术后效果更好，对器械和手术进行了研究，并从后板层角膜移植术（PLK）发展到深板层内皮角膜移植术（DLEK）、后弹力层剥离内皮角膜移植术（DSEK）、后弹力层剥离自动化内皮角膜移植术(DSAEK)、后弹力层内皮角膜移植术 (DMEK)、最后是预后弹力层内皮角膜移植术 (PDEK) [1-15]。辅助技术包括内照明辅助 DMEK/PDEK (E-DMEK/E-PDEK) [16, 17] 和气泵辅助 PDEK 技术 [18]。虽然穿透性角膜移植术（图4.1）和内皮性角膜移植术（图4.2a，b）都可以实现透明的角膜，但每种手术都有其优点和缺点，对两种手术的适应症、手术技术、并发症和结果进行比较很重要。
The gold standard surgery for corneal disease was penetrating keratoplasty (PK) until the concept of lamellar keratoplasty was described in 1914. This changed the indications and surgical options for corneal disease. Endothelial keratoplasty (EK) began as early as 1998, and research in instrumentation and procedure was carried on to make EK simpler with better postoperative results, and it evolved from posterior lamellar keratoplasty (PLK) to deep lamellar endothelial keratoplasty (DLEK), Descemet stripping endothelial keratoplasty (DSEK), Descemet stripping automated endothelial keratoplasty (DSAEK), Descemet’s membrane endothelial keratoplasty (DMEK), and finally pre-Descemet endothelial keratoplasty (PDEK) [1–15]. Ancillary techniques include, among others, the endoilluminator-assisted DMEK/PDEK (E-DMEK/E-PDEK) [16, 17] and the air-pump-assisted PDEK techniques [18]. Though a clear cornea can be achieved in both penetrating keratoplasty (Fig. 4.1) and endothelial keratoplasty (Fig. 4.2a, b), each surgery has its own merits and demerits, and a comparison of indications, surgical technique, complications, and results of both surgeries is important.
影响因子：
8.4
作者：
Nanavaty, Mayank A.;Wang, Xue;Shortt, Alex J.
通讯作者：
Shortt, Alex J.