Deep anterior lamellar keratoplasty (DALK) is the mainstay of treatment for corneal pathologies sparing the endothelium. This lamellar surgery has undergone a revolution in the past decades. Various techniques and their modifications have been described to make it safe and reproducible so that it can be performed not only by experts but also the novice corneal transplant surgeons. This book describes the evolution of DALK, indications, preoperative evaluation, the various methods of performing DALK and the postoperative outcomes. The issues related to procurement of donor corneas for such cases are discussed. The "different strokes" in DALK include the conventional Melles and the "Big bubble" technique and also the newer modifications such as "Double bubble" technique, cannula assisted DALK, groove and peel technique as well as diamond blade-guided DALK. The different types of modifications presented by eminent lamellar corneal transplant surgeons from all over the world, in this book are an endeavor to make DALK feasible by all corneal transplant surgeons.

"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.

This updated, full-color 4th edition features a greatly expanded surgical focus for a practical guide to corneal surgery. The expert guidance of internationally renowned editors provides you with authoritative and current coverage that takes you from an in-depth exploration corneal function as related to corneal surgery through to the correction of refractive errors. New chapters ensure that you stay up-to-date on the latest developments in the field. This easy-to-use, state-of-the-art resource has been reorganized to focus strictly on surgery to provide you with more coverage of recent surgical advances. Presents boxes of clinical pearls throughout the text for accessible expert guidance. Features the latest surgical techniques and postoperative management of penetrating and lamellar keratoplasty —to provide you with details on hot topics in the field. Gives you fresh insights with new sections and a broader perspective from a new team of editors. Makes use of full color throughout the text, as well as step-by-step surgical line illustrations and full-color photographs so you gain a more accurate visual understanding of corneal surgery. Emphasizes refractive surgery considerations, including technique, with supporting medical illustrations and video presentations.

Part. 1 Introduction to corneal function and surgery -- Part. 2 Testing and measuring corneal function -- Part. 3 Ocular surface surgery and reconstruction -- Part. 4 Techniques in corneal transplantation -- Part. 5 Special situations in corneal surgery -- Part. 6 Surgical correction of refractive errors.

Anterior segment optical coherence tomography (AS-OCT) is a valuable tool in corneal transplantation surgery. In deep anterior lamellar keratoplasty (DALK), AS-OCT gives valuable information on preoperative decision process. AS-OCT image of the recipient cornea helps the surgeon to decide whether to proceed with a big bubble DALK or a manual dissection. Preoperative AS-OCT imaging of recipient stroma can also predict Descemet membrane perforation during big bubble induction. Intraoperative AS-OCT assures reaching the proper depth in order, and postoperatively, a surgeon can objectively assess the Descemet membrane and donor association and define complications such as a double anterior chamber. Before deciding for a Descemet membrane endothelial keratoplasty (DMEK), preoperative stromal scars can be identified with an AS-OCT and might affect the decision of the surgical procedure (DMEK or penetrating keratoplasty). After DMEK, graft detachment can be visualized by AS-OCT and treated accordingly.

​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.

Integrated or microscope-integrated intraoperative ocular coherence tomography (i2OCT or mi-OCT, respectively) has revolutionized real-time augmentation of the surgical operating field. While corneal and retinal specialists have immediately found uses for this technology, others are beginning to use it to improve outcomes and flatten the learning curve. This book presents the use of i2OCT in pediatric ocular surgery. Case scenarios in pediatric retinal disease, corneal lamellar keratoplasty, and even pediatric cataract surgery are discussed. More novel applications highlighted include its use to identify the levator muscle in oculoplastic surgery, especially re-operations, and to assess the results of glaucoma drainage devices. Identifying extraocular muscles in re-operation for strabismus ensures minimal tissue disruption during surgery. Complex pediatric cataract surgeries can be performed far more simply and effectively using integrated ocular coherence tomography technology. This volume provides invaluable information to both early career and experienced pediatric ocular specialists, as well as any researchers who are likely to encounter i2OCT or mi-OCT technology in the future.